15:05
Jobsongo.com
Claim denied as BENEFITS EXHAUSTED
Action: when you get a denial with the above reason then check the system to see if the patient has any secondary insurance, if there is no sufficient information provided in the system then go back to the original file in which the patient’s insurance information was received and if there is a secondary insurance, the claim can be submitted to the secondary insurance, if it does then refile claims to that Ins.
This denial actually mean current insurance has already enough paid for this patient hence this insurance cant pay more. Patient coverage is active but insurance will not pay since the amount of maximum payable has been reached . Bill the patient for allowed amount.
Action: when you get a denial with the above reason then check the system to see if the patient has any secondary insurance, if there is no sufficient information provided in the system then go back to the original file in which the patient’s insurance information was received and if there is a secondary insurance, the claim can be submitted to the secondary insurance, if it does then refile claims to that Ins.
This denial actually mean current insurance has already enough paid for this patient hence this insurance cant pay more. Patient coverage is active but insurance will not pay since the amount of maximum payable has been reached . Bill the patient for allowed amount.
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