BCIR Forum - BC/BS denies Ampatch

Donnie Ivey New Member Offline Posts: 26 Florence, AL Gender:	BC/BS denies Ampatch Oct 7^th, 2009 at 11:39pm I have been using Edgepark and they notifed me today that Blue Cross no longer pays for any Ampatch Products anymore. I hate to hear that, as I have enjoyed using their products. Just wondering if anyone else has encountered this with their insurance recently.
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Raymond Suskie Full Member Offline Posts: 134 Johnstown, Penna. Gender:	Re: BC/BS denies Ampatch Reply #1 - Oct 8^th, 2009 at 3:38pm Donnie; I just talked to the owner of ampatch and they don't know of any problems with BC/BS. You may want to get more info from edgepark on this and post it here for all to take a look at. Maybe there is some querk in the system that is the problem. Ray
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CindySam Junior Member Offline Posts: 60	Re: BC/BS denies Ampatch Reply #2 - Oct 26^th, 2009 at 9:13pm If the wrong code is used, the entire claim can be rejected. Don't give up your battle, thats what people want us to do.
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Donnie Ivey

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Posts: 26
Florence, AL
Gender: male

Re: BC/BS denies Ampatch
Reply #3 - Nov 30^th, 2009 at 8:43pm

Ray, I finally got a response from Edgepark today. Turns out they have been denying claims for Ampatch all year, and are just now letting me know. I checked the diagnosis codes, they are correct, and also the billing code which is also correct according to Austin. I am surprised that I am the only one having the problem. It must be my particular contract. Thought, I would share this.
Donnie

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Ronb New Member Offline Posts: 38 Oregon Gender:	Re: BC/BS denies Ampatch Reply #4 - Nov 30^th, 2009 at 11:04pm My BC/BS here in Oregon is still paying for mine. Not saying that won't change, they seem to do whatever they want to do now days.
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Raymond Suskie Full Member Offline Posts: 134 Johnstown, Penna. Gender:	Re: BC/BS denies Ampatch Reply #5 - Dec 1^st, 2009 at 8:04pm Donnie; I would appeal their decision through the insurance pocedure. There is usually 3 levels of appeals. This takes time and documetation. Ray
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Donnie Ivey New Member Offline Posts: 26 Florence, AL Gender:	Re: BC/BS denies Ampatch Reply #6 - Dec 22^nd, 2009 at 8:46pm Just a follow-up note. BC/BS of AL still denying payment for Ampatches.
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Raymond Suskie Full Member Offline Posts: 134 Johnstown, Penna. Gender:	Re: BC/BS denies Ampatch Reply #7 - Dec 26^th, 2009 at 12:24pm Donnie; Have you gone through the appeals process yet? Talk to Julie at AmPatch. You have 180 days form statement of denial to appeal. If edge park failed to inform you that is another matter to take up with them. Ray
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Donnie Ivey

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Posts: 26
Florence, AL
Gender: male

Re: BC/BS denies Ampatch
Reply #8 - Apr 10^th, 2010 at 10:26am

I finally got this issue resolved, and BC/BS AL has settled the issue and paid the claim. I will never know what the problem was, I guess. However, since then I just decided to use what they used at Palms. Cover Roll and a 4 X 4 bandage doubled. No problems with them covering those supplies. I guess everyone is a little different.

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Kathy Camp

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Riviera Beach, Florida

Re: BC/BS denies Ampatch
Reply #9 - Apr 15^th, 2010 at 3:36pm

I had the same problem. I had to make numerous phone calls and get lists of other supply companies. After much hassle I found a company called Sterling Medical Services and they carry the Ampatch and insurance covers it with this company for me. Customer service # is 888-239-2990. By the way they are a great company! Hope this helps some of you.

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