When a modifier 25 or modifier 59 claim you used to be paid on sudden resurfaces from Aetna, you aren’t being delusional and you aren’t the only one. A2Z
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If you’ve ever tried to appeal a denied claim with Cigna, you already know the drill. There’s no online portal for supporting documentation. No email option. No upload button.
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In Minnesota, a federal lawsuit is filed which accuses UnitedHealthcare of using an AI tool called nH Predict to override doctors and cut off coverage for older patients on
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Starting December 1, 2025, UnitedHealthcare is denying more lab claims before they are ever paid. The insurer’s new Routine Laboratory Testing Policies add automated frequency limits, diagnosis-to-test alignment checks,
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A2Z Billings works with providers who watch valid payments disappear into denial queues month after month. A recent California enforcement case against Cigna shows exactly how that happens: claims
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A practice that has treated UnitedHealthcare members for fifteen or twenty years opens an Explanation of Benefits and sees a denial code that makes no sense: non-participating provider. No
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According to a National Center for Health Statistics data brief published in March 2021, 12.6% of American adults aged 50 and older have osteoporosis, and another 43.1% have low
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Incision and drainage of a skin abscess is one of the most routine procedures in urgent care, primary care, and dermatology. It is also one of the easiest to
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Every autumn, coders brace for a new codebook. Every January, someone in billing asks whether the lumbar puncture CPT code changed again. For 2026, the honest answer is more
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Billers who work Aetna claims for behavioral health services run into the same question within their first few months on the job: does Aetna actually follow Medicare’s incident-to rules,
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