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Champva Amount Allowed ?
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Harley-1
I have noticed on a recent explanation of benefits that most charges were adjusted with amounts allowed but when the item had unclassified and observation/recovery no deduction on amount allowed was done and I am talking about miscellaneous $4287.50 billed $4287.50 allowed and observation/reco $8253.30 billed and $8253.30 allowed- spoke to Chad at Champva and was basically told that they were allowed the full amount for both because they picked the right billing codes that seem to be above reproach? Is there any recourse for this type of billing ?
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