We have a patient with Jr after his name. (e.g. John Smith Jr).
Our billing system would not recognize eligiblity if it is entered as John Smith Jr. but it would read it if it’s typed as John SmithJr.
However, our claims for 2018 keep on being denied by Palmetto GBA (TN MAC) as invalid, and if we rebilled it, it denies as duplicate (even if we have zero payments due to denials).
We have tried every permutation available for the name trying to get it to go through the computer systems.
Is it appropriate the go online for the first level appeal?
Thanks!