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What is a dirty claim as far as insurance is concerned?
A "dirty" claim is one that would be rejected by an insurance company. Many facilities use a claim "scrubber" to check for medical necessity, correct demographic data, on the codes and modifiers that are being sent to the insurance company.
How does medical billing and coding work?
Medical billing and coding is a process used to submit claims to an insurance company. First a claim must be submitted and then the claim is approved or rejected by the insurance company. If the claim is approved, a payment is sent out.
What are three reasons a claim can be returned by insurance companies?
Medical expenses were incurred before insurance coverage, noncovered service deemed not a medical necessity, provider's address, PIN, or group number is missing.
An electronic claim that is rejected because of an error or omission is considered?
An open claim.
Why did the french attack fort necessity?
The french attacked fort necessity because they wanted to claim the fort for France.
If poor reasons have been given for a claim's acceptance should the claim always be rejected?
Every claim is considered on its own merits, so there are cases where the claim might be approved.
How do I go about submitting a claim for a lift chair for my mother Thank you P J Hall?
You will first need to have her doctor sign a Certificate of Medical Necessity form . Medicare reimburses for the seatlift mechanism, but not the chair. The reimbursement amount is about $300.
What happens when your medical charges exceed Max of insurance 100000 plus medical?
there are 'policy limits' and the insurance company cannot pay past these limits, need more info to be of more assistance, is this an uninsured motorist claim, or a bodily injury claim, (liablity under negli.drivers policy)?
Can you claim your child's medical expense if it is his fathers year to claim him?
No, medical expenses for a dependent can only be claimed by the person who is claiming him or her as a dependent.
Where can one find reviews on medical claim software?
One can find reviews on medical claim software on several different review sites. There are a vast number of sites that contain reviews on various products and medical claim software will be one of them.
What are the hidden conditions of medi-claim policies?
Usually it depends on the Medical Claim company that you'll be hiring. Discuss every detail on how your medical claim process goes, I mean every details...
How do you file a complaint to Bank Negara Malaysia on cases badly handled by the Insurance company?
claim rejected
