Claim Rejection Research Paper

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Recommended: Medical coding mistakes

Medical coder and biller have as a goal to make sure that the provider that they work for gets their reimbursement for all their services. Unfortunately is common to incur in some human and electronics errors while submitting the claims. These errors would prevent the insurance companies from paying the bills, rejected it and returned it to the biller, so the claim can be corrected and resubmitted. Bellow I will explain some common errors of claim rejection.

INCORRECT PATIENT INFORMATION
These errors occur when the claim submitted has errors related to patient demographic data as their right age, miss spell name, wrong date of birth, incorrect gender, previous address or wrong address, also when the patient policy number is not the right one

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