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Request for Second Review: Add or Change Units/Modifiers
Notice a mistake on a submitted bill?
Once submitted, a Bill cannot be modified, rescinded, or deleted. If you see a mistake, don’t automatically re-submit the bill; it may be denied as a duplicate.
To add or change a modifier or unit, submit a Second Review with the correct information. Per regulation 9792.5.5, submit a Request for Second Review within 90 days of receipt of the EOR.
Step 1. From the Bill Page, click ‘Second Review’
In order to submit a Second Review, a bill must be in Processed status. If the bill is not in Processed status, manually post the reimbursement amount to the original bill. For more help, see the Help Article: Post: Paper EOR.
Step 2. Select the Service Line Items to Second Review
Step 3. Under ‘Reason for Request for Second Review’, insert Omitted Code/Units/Modifiers
Example language: Modifier 25 was inadvertently omitted from the original bill. Please reprocess the bill with modifier 25.
Step 3. Repeat for all incorrect payments, then click ‘Save’
Step 4. Attach additional ‘Supporting Documents’ if necessary, then click ‘Submit’
For more information, see the Help Article: Request for Second Review: Add New Supporting Documents
That was easy!