Claim CLM-2024-8718
Patient
- Name
- Kavya Pillai
- Date of birth
- 1986-10-23
- Patient id
- H012
Payer
- Name
- Humana
- Payer id code
- 61101
Provider
- Name
- Northside Medical
- NPI
- 1982744321
Service
- Date of service
- Mar 12 (denial date, no service date on file)
- Procedure
- 29881, Knee Arthroscopy
- Diagnosis code
- M23.61
- Billed amount
- $14,800
Denial
- Reason
- Bundling/Coding Error, code 97
- Date
- Mar 12
Appeal
- Status
- No appeal filed yet
Prepared by Heron on Aug 30.