DecisionHealth, DecisionHealth - 2021 Issue 10 (October)

Spotted a claim error? Before appealing, consider resubmitting or reopening

Question: I‘ve heard that, rather than waiting for a denial on a claim so I can request a formal appeal, I can ask to have my claim changed after I’ve submitted it to the Medicare administrative contractor (MAC). I’ve heard this variously called a “reopening” and a “resubmission.” My question is, how do I do it?

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