CareSource Well Check Denials (Code OA-119)
Several practices have reported that CareSource is denying claims for well checks with code OA-119 (benefits exceeding maximum). The denials appear to have begun in May. Partners For Kids has reported and escalated the issue within CareSource. CareSource is aware of the impact this issue will have on your practice and is making resolution its highest priority. If your practice is experiencing these denials, please email your PFK provider relations specialist. Provide both number of denials you have received and the dollar amount of charges denied. PFK’s provider relations team will continue to keep affected practices updated regarding next steps and timelines.