My name is Regina Bast-Martinez and I am a provider representative from Oband Medical G...

GetHuman-rbastma's customer service issue with Aetna from February 2019

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My name is Regina Bast-Martinez and I am a provider representative from Oband Medical Group (tax* *********) for patient Clifford Duernberger DOB ********** W*********. Our patient called Aetna regarding his unpaid claims as well as Aetna not processing CPT code ***** (unlisted code for Mesh) and Aetna refused to reprocess the claim for payment. This claim for both the Surgeon and the Assistant is payable yet not only did Aetna not review the Medical Records they also did not take in account Medical Necessity. We need the claims for DOS ****** paid correctly for both the surgeon and the assistant!. We have even directed his claims to DOI and DOL and yet Aetna still refuses to process Mr. Duernberger's claims. Please help with this situation as the patient is very upset with Aetna.
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Customer service issue
Reported by GetHuman-rbastma
Feb 15th, 2019 - 8 mons ago
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GetHuman-rbastma started working on this issue
Feb 15th 6:28pm
GetHuman-rbastma indicated the issue is not fixed yet.
Feb 15th 6:28pm