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Claim denials for maximum unites per visit
Check your units of the CPT
Claim denied as inclusive with the primary procedure
Some service covered with primary procedure, Hence we needs to taken write off the claim balance after primary CPT paid. However there is chance with resubmit the inclusive procedure with modifier.
Claim denied as services not provided or authorized by designated
File the claim along with appropriate authorization#. If we don’t have authorization# sometimes we can appeal the claim along with necessary medical document.
Claim denied because of incorrect medical coding
Should be file the claim with correct diagnosis (Dx) and CPT
Claim denied because this injury is the liability of the no-fault carrier.
Should be file the claim to patient auto-insurance.
Claim denied by medicaid because primary insurance changed
File the claim to patient primary insurance. If we don’t have patient primary insurance details needs to call the patient and get the insurance information.
Claim denied by medicare for code co-16 what do i do to get this paid?
We will receive this denial if we have filed the claim with insufficient information. This code co-16 must have additional denials information that informs us what kind of information is missing with claim.
Claim denied due to pre-existing condition
Patient needs to update the medical (medical history) document to insurance and provider also update the medical document to insurance.
Claim denied for clia certification#
Should be file the claim with clia certification number. We must file the lab code with clia number.
Claim denied as inclusive with the primary procedure
Some service covered with primary procedure, Hence we needs to taken write off the claim balance after primary CPT paid. However there is chance with resubmit the inclusive procedure with modifier.
Claim denied as services not provided or authorized by designated
File the claim along with appropriate authorization#. If we don’t have authorization# sometimes we can appeal the claim along with necessary medical document.
Claim denied because of incorrect medical coding
Should be file the claim with correct diagnosis (Dx) and CPT
Claim denied because this injury is the liability of the no-fault carrier.
Should be file the claim to patient auto-insurance.
Claim denied by medicaid because primary insurance changed
File the claim to patient primary insurance. If we don’t have patient primary insurance details needs to call the patient and get the insurance information.
Claim denied by medicare for code co-16 what do i do to get this paid?
We will receive this denial if we have filed the claim with insufficient information. This code co-16 must have additional denials information that informs us what kind of information is missing with claim.
Claim denied due to pre-existing condition
Patient needs to update the medical (medical history) document to insurance and provider also update the medical document to insurance.
Claim denied for clia certification#
Should be file the claim with clia certification number. We must file the lab code with clia number.
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