Question for health insurance claims examiners?

Question for health insurance claims examiners? I was just wondering if other health insurance companies having been having issues with Medicare over the last couple of years. They%26#039;ve been denying services they normally pay on..such as chiro..and office vsts and stuff. Denying for odd reason like... n/c when in hospice..or not a covered provider (and it%26#039;s an md) a lot of PR185, PRB7, PRB9. We%26#039;ve been denying the claim with an EOB remark that tells them to resubmit to medicare. Just wondered if anyone else had a similar experience, and what is their deal?

Additional Details

2 days ago

oh by the way, when the claim is refiled to medicare, medicare then pays on it

Asker's Rating:

lol not sure what that had to do with my question, but thanks for the effort :-)

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