When billing code 86580 Mass Health requires an invoice, does BMC HealthNet Plan?
In most cases, the requirements of MassHealth are the same as the Plan. As a result, if you provide invoices to MassHealth for a code, it is best to supply one to the Plan to ensure clean claims processing. When billing medicine injections, should we use the J code as we do with private insurances? Yes, but with most J codes, you’ll need to submit the supplying company’s invoice for us to determine appropriate payment. Additionally, when billing immunizations, it is important to bill the antigen since payments will not be made on claims submitted with only the administration code. Should we bill allergy injections separately from the serum? Claims can combine the injection and serum as long as a supplier’s invoice is attached to ensure appropriate payment rates. Does BMC HealthNet Plan have a set standard on the amount or limits of a supply of drugs? The plan dispenses in 30-day supply increments. Can we bill more than one service on one claim? Yes. There can be multiple dates on one c
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- When billing code 86580 Mass Health requires an invoice, does BMC HealthNet Plan?
