Insurance Claims Filing - 10 Top Errors
Correct insurance claims filing to insurance companies in todays world is crucial to the healthcare provider. We have listed the 10 top billing errors that can cause a claim to be rejected or delayed.
1. Duplicate Claim
If you are filing a claim for the second time, indicate in a letter that this is not a duplicate but a second request for payment.
2. Beneficiary Eligibility
Call and verify with the insurance carrier that the patient is indeed covered by the insurance company the patient presented to you.
3. Incorrect Carrier
Make sure you send the claim to the correct carrier. Some insurance companies have multiple addresses to send claims to. Make sure you have the correct address.
4. Procedure code/Modifier invalid
CPT codes and modifiers change every year. Make sure you are using a code that is still valid for the date of service you are billing for.
5. CLIA
This is a number that is required for claims filed for medical doctors. Without it, your claim can be denied or delayed.
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