{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

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SRP and Insurance

Having problems with insurance. Patient has had SRPx4 or osseous surgery.The patient is then put on perio maint (4910). They are doing fine with the appointments and then miss one recare appointment and insurance won’t cover the appointment because it wasn’t 3 months to the day. What is everyone doing??? You cannot go back and bill as a 1110? Unfortunately patients do miss appointments. Big problem in the office.



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1 Answer

I have never heard of this problem but am not surprised. Insurance will do almost anything to not have to pay.
I would eerie a letter to the insurance company. Make sure you talk about the disease process and the oral ramifications and future, more extensive treatment needed if your patient is not able to have regular cleanings.
Good luck with this situation.

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