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shaunadasilva – Contributor Profile

July 15, 2025 by Admin

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shaunadasilva

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Is upper and lower jaw surgery considered a bilateral procedure? My understanding of a bilateral procedure is on each side of the body.Thank you, Shauna
Admin May 2, 2013 12:51 pm
No it is not considered bilateral...however you would have two codes one for the maxillary and one for the mandibular. If the jaw sugery was performed on both upper and lower, right and left sides then you would have a bilateral upper and lower jaw surgery.
shaunadasilva
asked 13 years ago by
Shauna DaSilva
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Do you have a sample of an appeal letter for a denial for treatment that had been given prior-authorization?
Admin October 6, 2011 5:15 am
At this time we do not have the letter you are requesting, I will forward this request to the Director of Education for a sample letter to be created. Please check your members area within the next 3 weeks for your letter.
shaunadasilva
asked 14 years ago by
Shauna DaSilva
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55
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Is there an age when Medicare is automatically the primary insurance carrier in the state of Massachusetts?
Admin December 16, 2010 11:49 am
Medicare is never automatically the primary insurance carrier for any state, you must determine what coverage the patient has and determine who is the primary carrier. Let's say for example the patient has a working spouse with crediable coverage through Cigna, in this instance the patient's primary carrier would be Cigna and Medicare would be (more)
shaunadasilva
asked 15 years ago by
Shauna DaSilva

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