To ensure the modifier appears correctly on the claim, it must be added at the patient authorization (Auth) level, not only under the insurance contract rate.

Please follow the steps below:
  1. Navigate to the patient’s Bio > Insurance / Authorization.
  2. Edit the service under the Service Utilization section.
  3. Add the required modifier to the authorized CPT code and save.
  4. Once updated, retract the claim from both:
    • Process Billing
    • Manage Billing
  5. After retracting, regenerate the billing/claim so the modifier pulls through correctly.
Once this is completed, the modifier should appear on the newly generated claim and allow you to resubmit it via the portal.


To know how to retract your claim, please visit this article!