u/Minion8194

Sorry for the long message ahead-

Hi everyone,

I'm trying to understand whether this is an insurance issue or a provider billing issue. Though I think this was provider billing issue

I had my annual preventive well-woman visit. During the visit, I also discussed a yeast infection with my doctor.

Afterward, the doctor ordered several blood tests:

• CPT 80050 (General Health Panel)
• CPT 83036 (Hemoglobin A1c)
• CPT 84439 (Free T4)

Blue Cross denied these tests with the explanation that the claim "did not indicate the service was provided for treatment of an illness or injury" and said that if the tests were related to an actual medical diagnosis, the provider should resubmit the claim with the diagnosis.

I called my insurance, and they told me that if the provider submits the appropriate diagnosis code, the labs would be processed under my office visit benefits instead of being denied.

Here's where I'm confused:

• The clinical office told me these labs were ordered for non-preventive/diagnostic reasons.
• The billing department told me they were processed as part of my annual preventive visit.

Those two explanations seem to contradict each other.

This is so frustating considering this was my first experience in US.

Hi, i am 28. Pap test was done by my PCP as preventive routine checkup but it was denied by insurance saying age. I didnt ask for this pap test and wasnt aware that it would be denied by insurance. What should I do.

I got recently laid off. Need linked premium for job search. Does anyone have cheaper ones?

Appreciate it. Thanks

Hi all, I am planning to buy this but confused between these two. I know for sure, shark is good but has anyone used 7magic??

Hi all

I am planning to buy hair stylers but confused between these 2. I know for sure Shark is good, but any idea about 7magic??

Hi all, I am planning to register for the Hl7 V2 exam. Anyone who gave the exam - how did you learn or did the preparations? I see following courses recommended for the exam-
Recommended Courses

HL7 Fundamentals Course
This online introductory 12-week course is offered three times per year. It addresses HL7 standards for creating and exchanging healthcare information, including V2, V3, CDA® and Fast Healthcare Interoperabiilty Resources (FHIR®).

Introduction to Version 2 (Part 1)
Part 1 introduces students to HL7 and the basic concepts of Version 2. It discusses the structure of the standard and covers two of the standard's fundamental chapters: Control and Patient Administration.

Introduction to Version 2 (Part 2)
Part 2 provides students with an overview of the Version 2 Orders and Observations messages and major concepts and provides a sampling of the type of information that can be communicated using these messages.

Version 2.8 Certificate Exam Preparation (Parts 1 & 2)
This 2-part class takes a deep dive into the message definition and processing rules and data type definitions of the Control chapters of the HL7 Version 2 standard.

Which one did you buy and is it worth it?

Thanks again!

Hi all, I am looking for a wallet for my husband as a gift, I am looking for a luxury brand. I thought of buying LV but according to him it's big and he prefers small but specious wallet in general. Any suggestions for a good brand.? A wallet that is small but spacious enough.

Hi all

I am experiencing vaginal itching for quite some time now. I had this itching 2 3 weeks back and Dr did my tests for yeast,bv etc. It all came back negative. And itching stopped after a week of consultation with dr. I recently again started experiencing same itching pattern. It’s mostly inner. Is there any OTC cream or oral medicine I can try? I have had my Pap done as well. I am just not sure why it’s recurrent.

We're an Epic-integrated vendor currently using Epic Vendor Services and are working through our first customer implementations involving Interconnect/FHIR integrations.

During a recent implementation discussion, the customer expected us to provide documentation including:

• Business Service Class mappings
• Required security points for background users
• Background user configuration guidance
• FDI build instructions
• Allow-list / content configuration
• Proxy/network guidance

The feedback was that these items are typically included in Epic implementation guides and should be available before engaging customers.

Our current experience with Epic has been through Vendor Services tickets rather than a dedicated Technical Services (TS) contact.

For those of you who are Epic vendors:

1. Is there actually a vendor program that provides an assigned TS?
2. Is Vendor Services the normal route for obtaining Business Service Classes and security point requirements?
3. How do most vendors develop their implementation guides when many of these configurations can vary by customer environment?
4. What level of documentation do Epic customers typically expect from vendors before implementation begins?

Trying to understand whether we're missing an Epic program/resource, or whether this is simply part of the normal vendor maturation process.

Would appreciate hearing from vendors, App Orchard participants, Epic analysts, or anyone who's been through this.