Clean Claim Reviews Frequently Asked Questions
Date: 06/16/25
Magnolia Health MSCAN has partnered with 6 Degrees Health to begin performing clean claim reviews to ensure appropriate billing effective July 28, 2025. All reviews will be performed by registered nurses with extensive clinical experience, and billing is evaluated against CMS and industry standards to ensure the claim has been billed accurately before payment.
What do I do if I did not receive the full contracted payment for my claim?
Please contact 6 Degrees Health at the number below. However, you received an amount lower than expected
because a clean claim review was performed.
Reconsiderations, Disputes and Appeals
Where do I submit documentation if I do not agree with the Clean Claim review findings?
You may contact 6 Degrees Health at the number below, or you can submit additional documentation for reconsideration, or you can exercise your appeal rights. ALL inquiries should be submitted to 6 Degrees Health:
Mail: PO Box 5967 Fredericksburg, VA 22403 |
Email: cleanclaimsappeals@6degreeshealth.com
Direct: 503.640.9933
Option #3
Fax: 888.507.0489
What are EX CODES?
Certain EX CODES mean a Clean Claim review was completed. If EX CODES n0, n9, m0, m3, m4, or m5 are present on the EOP, it means that 6 Degrees Health conducted a review.
What kind of information can we send to make items payable that were originally denied?
When submitting a formal appeal, you can send medical records or other documentation supporting your billing practices, such as billing policies to:
Mail: PO Box 5967 Fredericksburg, VA 22403 |
|
| |
| Fax: 888.507.0489 | |
|
|