October 31, 2006

Next Caller Please

Me: Customer Service this is Shae; how can I help you?

Provider: Yes, I need to know if you will allow us to bill a global code for maternity care or if we must submit each date separately.

Me: Actually, you can bill the claims either way. Both would be eligible.

Provider: Really?

Me: Yes, that's what I'm showing in our system.

Provider: Are you sure because most other Large Insurance Companies don't allow that.

Me: That may be true for them but here at The Very Large Insurance Company we will accept both ways of billing for maternity care.

Provider: Really?

Me: Yup.

Provider: Are you sure?

Me: Yes.

Provider: Cuz, we could bill it either way; I want to make sure it is eligible with you however we will bill that.

Me: Yes, I'm sure. either way would be fine. It's up to you how you prefer to bill the services.

Provider: You know, I have the procedure code that we would want to bill if we bill it as global.

Me: ..........Do you want me to look that up to see if it would be eligible?

Provider: Oh, can you do that? That would be wonderful!

Me: Yeah, What's the code?

Provider: 53897

Me: Yeah, that code's fine to bill.

Provider: Oh, thank you.

Me: Yeah, take care.

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