Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 23, 2024

Urgent: Provider notification regarding claims denials for code G9012

HealthKeepers, Inc. recently identified that claims for code G9012 are erroneously being denied under the notation e08 - Unlisted Procedure Code, CARC 16.

An immediate code editing request to rectify this situation was submitted on February 12, 2024. The projected date for the removal of the denial is set for April 12, 2024, although measures are underway to expedite this process.

It's important to clarify that code G9012 is not regarded as an unlisted code for Medicaid. The state recognizes this code specifically for substance use care coordination under our Addiction and Recovery Treatment Services. This claim is reimbursable at one unit per month.

Please rest assured that we will perform weekly sweeps to reprocess any claims that were denied incorrectly until the configuration error is fully rectified. We appreciate your understanding as we work to resolve this issue.

HealthKeepers, Inc. is an independent licensee of the Blue Cross Blue Shield Association. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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