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WC Denials - PIP BENEFITS EXHAUSTED
This rejection is common in Auto insurance claim. PIP stands for Personnel Injury Protection. This rejection indicates that the carrier’s liability towards PIP of the subscribers has been exhausted.
Action: When you get this rejection, see whether the patient has any secondary coverage like Medical coverage ex. Medicare united, Medicaid, etc. if yes, check with the carrier whether they will be processing the claim as primary if the primary rejection is attached and sent to them. If no, then the patient has to be billed.
This rejection is common in Auto insurance claim. PIP stands for Personnel Injury Protection. This rejection indicates that the carrier’s liability towards PIP of the subscribers has been exhausted.
Action: When you get this rejection, see whether the patient has any secondary coverage like Medical coverage ex. Medicare united, Medicaid, etc. if yes, check with the carrier whether they will be processing the claim as primary if the primary rejection is attached and sent to them. If no, then the patient has to be billed.
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