BC Advantage - 2013 Issue 6

Common Reasons Medical Billing Claims Get Rejected

By: Harold GibsonNo matter how brilliant medical billers are working on daily claims, all of us go through some rejected claims. Sometimes it's because the insurance company is playing fast and loose; sometimes it's because somebody left out vital information. Here are some common reasons why medical billing claims get rejected:Waited too long to file the claimMost insurance companies allow 60 to 90 days from the time of service to file a claim. When claims are filed too long after the date of service, they are rejected.Example: The bill was submitted to EDS before it was submitted to...

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