Coding & Payment Hotline

The Coding and Payment Hotline helps members address coding and payment-related questions. It also allows them to stay updated on payment and revenue cycle current issues/trends, all in an effort to assist in the submission of clean claims for expedited payment.
We can review questions regarding specific coding, payment and financing concepts. We will review your submission and typically respond within 3-5 business days. Please note that some responses will take longer due to the intricacies of the question.

Some questions concerning payment issues are complex and require members to identify the following:

• Claims denial status
• Specific contracted services with the Payer/Managed Care Organization (MCOs)
• Communication with Payer/MCO staff
• Payer policies

While we can try to advocate on your behalf, we cannot guarantee a resolution of payment issues related to payer policies, programs, processes, or contracting.

The AAP Coding and Payment Hotline cannot review patient documentation to verify appropriate coding and cannot code services for you.

Any documentation submitted through the form MUST have all protected health information (PHI) redacted, as the AAP is not a HIPAA-covered entity. Documents containing PHI will be deleted.

Contact a qualified healthcare attorney for legal advice on reporting services under the Health Insurance.

Ready to submit a question? Access the Coding & Payment Hotline using your AAP account. If you don’t have an account, click here to create one!

Coding and Payment Hotline

For additional assistance with simplifying coding and optimizing payment results, check out our AAP Pediatric Coding Products.