Dear List-serve,
I want to find out how we can better handle the Insurance Companies demand for our Manufacturer’s invoices on generic Lcodes that do not have a set fee. I have had an Insurance company refuse to pay for an L5999 code (and L2999) for products that do not have a specific code/fee. The problem is that when they refuse to pay you until you submit the Manufacturer’s invoice (we have generated our own internal invoices but they won’t accept our internal invoice) they pay us the actual invoice or LESS! I have called a manufacturer to see if we can get invoices/packing slips with a manufacturer’s suggested retail price and not what we pay, to try and stop this insanity, but they don’t offer that service at this time.
The specific event is for a foot shell covering a dynamic foot.
What are your thoughts or actions with this type of event, I know I am not the only one out there dealing with this garbage.
Rick Stapleton, CPO
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