Anyone working in NYS,
Have you noticed since Jan 1st, that majority of the claims being processed are either denied entirely or are processed at a ridiculously low amount?
I’ve seen several claims in which the providers were paid 3% of what they charge.
How is that even allowed?
I saw a claim where the provider billed $250 for a regular check up and got paid $3.30.
Sent it in for adjustment and then got denied saying “contracted rate.”
No wonder more and more providers refuse to take us.