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  • Add You - 10 Common Reasons Why Medical Claims were being Denied and your Action Plan

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    >(2) Patient’s non-coverage or terminated coverage at the time of service may also be the reason of denial That is
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    (1) Incorrect patient’s information (insurance ID# , date of birth) If you are submitting electronic claims, AVOID entering patient’s insurance number with characters like an asterisk (*) and dash (-) in between the alphanumeric numbers because these characters can be recognize by electronic as unrecognizable. Just check on this issue with the clearinghouse or your service provider. Always make a copy of your patient's primary & secondary insurance card on file (copy front and back!). Make sure to get a copy of their new card (if there is a change).

    (2) Patient’s non-coverage or terminated coverage at the time of service may also be the reason of denial That is w

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    t’s insurance number with characters like an asterisk (*) and dash (-) in between the alphanumeric numbers because these characters can be recognize by electronic as unrecognizable. Just check on this issue with the clearinghouse or your service provider. Always make a copy of your patient's primary & secondary insurance card on file (copy front and back!). Make sure to get a copy of their new card (if there is a change).

    (2) Patient’s non-coverage or terminated coverage at the time of service may also be the reason of denial That is

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    be recognize by electronic as unrecognizable. Just check on this issue with the clearinghouse or your service provider. Always make a copy of your patient's primary & secondary insurance card on file (copy front and back!). Make sure to get a copy of their new card (if there is a change).

    (2) Patient’s non-coverage or terminated coverage at the time of service may also be the reason of denial That is

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    tient's primary & secondary insurance card on file (copy front and back!). Make sure to get a copy of their new card (if there is a change).

    (2) Patient’s non-coverage or terminated coverage at the time of service may also be the reason of denial That is

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    >(2) Patient’s non-coverage or terminated coverage at the time of service may also be the reason of denial That is why, it is very important that you check on your patient’s benefits and eligibility before see the patient (unfortunately, I have seen practices who does not check on benefits and eligibility on their patients so they end being not paid for the service they rendered to the patient)

    (3) CPT/ICD9 Coding Issues (requires 5th digit, outdated codes)--- be careful

    also with your secondary code! Claims may be denied even if the problem was just because of the secondary CPT/ICD9 code! Again as I previously pointed out with my other articles on tracking y

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