BC Advantage - 2017 Issue 4

What’s the difference between a Claim Denial and Claim Rejection?

Insurance claim denials and rejections are one of the biggest obstacles affecting healthcare reimbursements.  Too often the terms "claim rejection" and "claim denial" are used interchangeably in the billing world.This misunderstanding can create very costly errors and can have a significant, negative impact on your overall revenue cycle.  Proper education and management of accounts receivable and workflow are essential for timely cash flow.Let's spend a little time defining the terms and differences between a claim rejection and a claim denial. Claim RejectionsClaims Rejections are claims that do not meet specific data requirements or basic...

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