I have a current OB patient who has BCBS as primary and Aetna as secondary. She has been seen for multiple office visits [99211] above her routine maternity visits due to a complication of her pregnancy. Her BCBS insurance has applied each of these visits to her deductible. When sent on to Aetna they have been denied as included in the global maternity billing and Aetna states the patient’s responsibility is zero. We are appealing this decision [as these visits should not be included in the global]. But if their decision stands, are we forced to take the write-off because we are contracted with them and eat the cost for the visits?