TM4 -Telemedicine error code



This rejection may occur if the claim is for telemedicine, and a non-telemedicine claim for an eligible telemedicine service was paid to the same physician, same patient, same service date.


If the previous claim was wrong, and should have included telemedicine, then you will need to submit an RA Inquiry to correct the code.

If the non-telemedicine claim and telemedicine billing is correct because both services were rendered the same day in both telemedicine and non-telemedicine settings, then the rejected billing should be resubmitted with Manual Review, and a written explanation should be sent in to your claim assessor.



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