DecisionHealth, DecisionHealth - 2012 Issue 2 (February)

3 explanations why your claims aren’t getting processed

Payment disruptions started affecting practices across the country after the industry switch to HIPAA 5010 on Jan. 1. Some early-converting practices are missing payments from as early as November 2011. Root causes for delayed or non-payments run the gamut from payer system failures to missing claims’ status responses and are as varied as the different payers themselves.

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