explanation code-41, reduced payment due to.....
Geographic region.... I have cases with different carriers and depending on the carrier they will pay the 80% or reduce pay using the above code. However, my bigger carriers, Geico, State Farm,...
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Geographic region is typically your MD's zip code. I've had auto carriers pay me rates that are all over the place for the same service, but quite frankly, I couldn't care less. State law may say the...
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kELLYAll the carrier is required to pay is 80% of the billed charged. The patient is responsible for the remaining 20%.FS 627.736 Required personal injury protection benefits; exclusions; priority;...
View ArticleRe: explanation code-41, reduced payment due to.....
carriers only pay the 80%, and the patients are responsible for the 20%, but these carriers are reducing payment using code -41, "geographical location" then paying the reduce pay at the 80%. Is there...
View ArticleRe: explanation code-41, reduced payment due to.....
In these cases, I would bill the member for the amount they reduced and did not pay. You will get nowhere with the auto carrier.
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