It is frustrating to submit a code that is correct and have an insurance company change the code to an alternate benefit. Can they really do that? No, they can’t. What they can do is to “remap” the reimbursement to another code. Remapping defined is that the insurance payor recognizes the submitted code but provides payment based on an alternate benefit. A little know fact: The ADA requests to be notified of any instances when the payor changes the code submitted.
Dental Billing Tips and News for Pros; Edition #130
