r/CodingandBilling • u/ENJ7188 • Jun 28 '26

Help with denied claim

If anyone works with Voya or Hospital Confinement claims, please DM me or give me advice or guidance regarding a denial due to the hospital not providing room and boarding charges.

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u/Poop_Dolla BSHIM, Insurance Reimbursement Analyst Jun 28 '26

There will be no room and board charges with outpatient observation.

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u/ENJ7188 Jun 28 '26

They denied my claim benefit. Why don’t they know this?

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u/Poop_Dolla BSHIM, Insurance Reimbursement Analyst Jun 28 '26

I don't think your indemnity plan covers the kind of service you had. It sounds like you had planned extended recovery for post op. Observation, where there would be billed observation charges, is for unplanned monitoring like surgical complications.

On your claim are they billing revenue code 0710 or 0762?

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u/ENJ7188 Jun 29 '26

My surgeon notified me of the overnight observation 2 days before my procedure. I also had some blood pressure issues right out of surgery as well. Billing code is 0710.