RE: Examination fee schedules

[Guest guest]

Are you using a -25 modifier if it is done on the same day as treatment. Haven't had this issue in our office.

Don White, RN, DC

In a message dated 11/19/2007 11:02:08 A.M. Pacific Standard Time, gcluen2002@... writes:

I've been noticing that several auto insurers have not been paying for the initial and follow-up evaluations. Safeco, for instance, has not paid one examination fee on any of the patients that I have with them. Others have down-coded the examination to the lowest level (even though I send them the laundry list of exams and all that I do). Besides PIP arb, is there a way to fix this on a statewide scale so that we don't have to do this every time? Cluen

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[Guest guest]

I assume that you have contacted them in the various cases and

inquired what their reasoning is. What exactly did they say?

>

> I've been noticing that several auto insurers have not been paying

for the initial and follow-up evaluations. Safeco, for instance, has

not paid one examination fee on any of the patients that I have with

them. Others have down-coded the examination to the lowest level

(even though I send them the laundry list of exams and all that I do).

Besides PIP arb, is there a way to fix this on a statewide scale so

that we don't have to do this every time?

>

> Cluen

>

>

>

>

>

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[Guest guest]

I have been using the -25 modifier and I always send my notes and examination forms to the carriers. I've spoken to other chiro's and they've had the same issue, especially with Safeco. Re: Examination fee schedules

Are you using a -25 modifier if it is done on the same day as treatment. Haven't had this issue in our office.

Don White, RN, DC

In a message dated 11/19/2007 11:02:08 A.M. Pacific Standard Time, gcluen2002@... writes:

I've been noticing that several auto insurers have not been paying for the initial and follow-up evaluations. Safeco, for instance, has not paid one examination fee on any of the patients that I have with them. Others have down-coded the examination to the lowest level (even though I send them the laundry list of exams and all that I do). Besides PIP arb, is there a way to fix this on a statewide scale so that we don't have to do this every time? Cluen

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[Guest guest]

Hi

If a phone call does not correct the problem and your

documentation is in order, you can file a complaint with the

Insurance Commission. Download the form #440-3600 from

www.insurance.oregon.gov

Submit ALL your documentation with the form.

They have been very helpful for us in the past.

Bob

W. Pfeiffer, D.C., D.A.B.C.O.

350 S.W. 1st P.O. Box 606

Pendleton, OR 97801

(541) 276-2550

Examination fee schedules

I've been noticing that several auto insurers have not been

paying for the initial and follow-up evaluations. Safeco,

for instance, has not paid one examination fee on any of the

patients that I have with them. Others have down-coded the

examination to the lowest level (even though I send them the

laundry list of exams and all that I do). Besides PIP arb,

is there a way to fix this on a statewide scale so that we

don't have to do this every time?

Cluen

________________________________

Never miss a thing. Make your homepage.

<http://us.rd./evt=51438/*http://www./r/hs

>

[Guest guest]

Bearing in mind that the contract is between the patient and the insurance carrier.

Such a complaint should be filed by the patient.

We need to complain to...Vern. He can take it!

As in, “Vern, my beer is flat! Can you get someone on it?”

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: " W. Pfeiffer DC, DABCO " <drbob@...>

Date: Mon, 19 Nov 2007 15:39:23 -0800

' Cluen' <gcluen2002@...>, < >

Subject: RE: Examination fee schedules

Hi

If a phone call does not correct the problem and your

documentation is in order, you can file a complaint with the

Insurance Commission. Download the form #440-3600 from

www.insurance.oregon.gov

Submit ALL your documentation with the form.

They have been very helpful for us in the past.

Bob

W. Pfeiffer, D.C., D.A.B.C.O.

350 S.W. 1st P.O. Box 606

Pendleton, OR 97801

(541) 276-2550

Examination fee schedules

I've been noticing that several auto insurers have not been

paying for the initial and follow-up evaluations. Safeco,

for instance, has not paid one examination fee on any of the

patients that I have with them. Others have down-coded the

examination to the lowest level (even though I send them the

laundry list of exams and all that I do). Besides PIP arb,

is there a way to fix this on a statewide scale so that we

don't have to do this every time?

Cluen

________________________________

Never miss a thing. Make your homepage.

<http://us.rd./evt=51438/*http://www./r/hs

>

[Guest guest]

Thanks for all your info! RE: Examination fee schedules

Hi If a phone call does not correct the problem and yourdocumentation is in order, you can file a complaint with theInsurance Commission. Download the form #440-3600 fromwww.insurance.oregon.govSubmit ALL your documentation with the form.They have been very helpful for us in the past.Bob W. Pfeiffer, D.C., D.A.B.C.O.350 S.W. 1st P.O. Box 606Pendleton, OR 97801(541) 276-2550-----Original Message-----From: [mailto: ] On Behalf Of CluenSent: Monday, November 19, 2007 11:02 AM Subject: Examination fee schedulesI've been noticing that several auto insurers have not beenpaying for the initial and follow-up evaluations. Safeco,for instance, has not paid one examination fee on any of thepatients that I have with them. Others have down-coded theexamination to the lowest level (even though I send them thelaundry list of exams and all that I do). Besides PIP arb,is there a way to fix this on a statewide scale so that wedon't have to do this every time? Cluen________________________________Never miss a thing. Make your homepage.<http://us.rd./evt=51438/*http://www./r/hs>

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