Oakland Southfield Physicians

OSP News

McLaren Will Be Having Clinical Editing System Updates

Posted: 02/15/2022

Chiropractic Claims to deny without appropriate modifier

Effective May 1, 2022, McLaren Health Plan will be implementing a claim edit for the below CPT Codes to appropriately deny Chiropractic claims missing the AT modifier, for all lines of business.

Pathology Claims to deny without appropriate primary diagnosis

Effective May 1, 2022, McLaren Health Plan will be Implementing a claim edit to appropriately deny professional pathology claims, for the below CPT codes, billed with an R code in the primary diagnosis position and outpatient pathology claims billed with R codes in all diagnosis positions, for all lines of business.

Click here to read the full announcement sent out by McLaren.

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