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Claim denied as Duplicate - CO18
Description:
Claims submitted are exact duplicates of previous claims submitted. Claims are often denied as duplicates for the following reasons:
* The claim was previously processed (i.e., no payment made, allowed amount applied to deductible on the initial claim). The provider re-files the claim to "correct" it. The second claim submitted is considered a duplicate, as the initial claim was processed correctly.
* The provider automatically re-files the claim to seek payment if the initial claim has not been paid within 30 days.
Action:
1. if the reason for non-payment is in question, call Provider Services to verify the claim's processing information. Do not refile a claim until you know a new claim is necessary.
2. Check the claim status before re-filing a new claim; the claim could be pending in the Medicare system for payment or for additional information necessary to complete processing. Again, call Provider Services to check claim status before re-filing.
Description:
Claims submitted are exact duplicates of previous claims submitted. Claims are often denied as duplicates for the following reasons:
* The claim was previously processed (i.e., no payment made, allowed amount applied to deductible on the initial claim). The provider re-files the claim to "correct" it. The second claim submitted is considered a duplicate, as the initial claim was processed correctly.
* The provider automatically re-files the claim to seek payment if the initial claim has not been paid within 30 days.
Action:
1. if the reason for non-payment is in question, call Provider Services to verify the claim's processing information. Do not refile a claim until you know a new claim is necessary.
2. Check the claim status before re-filing a new claim; the claim could be pending in the Medicare system for payment or for additional information necessary to complete processing. Again, call Provider Services to check claim status before re-filing.
Posted in: Duplicate Denial
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