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Brown Cafe UPS Forum
UPS Union Issues
Teamcare - something to watch for on procedure claims
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<blockquote data-quote="BrownBrokeDown" data-source="post: 1407610" data-attributes="member: 46824"><p>Update...Teamcare said that the doctor didn't submit it with a modifier. Have turned it back over to the doctor to fix. Seems like that is the most important part if Teamcare is the doctors correctly identifying all claims due to all of the clauses.</p><p> </p><p> </p><p>One other note of interest...She is getting a CPM device for a couple of weeks after the surgery. The medical rental company stated that they had never had Blue Cross/Blue shield approve charges on one. After stating I didn't have typical coverage, they said that they had attempted to file claims under some of Blue Cross/Blue shield's better insurances and they had never approved $0.01 on any of them. Called Teamcare. We are covered at 80% under Major Medical for this. Will have to see if the claim goes through without any issues. Will only pay $90 for 14 day rental/delivery/setup/pickup. Very cheap for what it is. (Of course that is about 45% of my UPS paycheck.)</p></blockquote><p></p>
[QUOTE="BrownBrokeDown, post: 1407610, member: 46824"] Update...Teamcare said that the doctor didn't submit it with a modifier. Have turned it back over to the doctor to fix. Seems like that is the most important part if Teamcare is the doctors correctly identifying all claims due to all of the clauses. One other note of interest...She is getting a CPM device for a couple of weeks after the surgery. The medical rental company stated that they had never had Blue Cross/Blue shield approve charges on one. After stating I didn't have typical coverage, they said that they had attempted to file claims under some of Blue Cross/Blue shield's better insurances and they had never approved $0.01 on any of them. Called Teamcare. We are covered at 80% under Major Medical for this. Will have to see if the claim goes through without any issues. Will only pay $90 for 14 day rental/delivery/setup/pickup. Very cheap for what it is. (Of course that is about 45% of my UPS paycheck.) [/QUOTE]
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Teamcare - something to watch for on procedure claims
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