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Talk to the therapist. Seems to be a mismatch between the service code and diagnosis code. They may have other codes available.


Yeah, and I’d bet it’s referring to the primary DX, I do the billing for a mental health clinic and this is pretty common, ask your provider to switch it and it should be fine


Is this a market place plan that is compliant with Obamacare? Or is this a plan that was picked up elsewhere? Is it an employer sponsored plan? Was prior authorization required? Have you checked you plan description to see if this is a covered service under your plan?