Posts Tagged ‘denials’

Want to increase the number of claims that successfully complete processing and enhance a positive cash flow? Heed Noridian Administrative Services’ (NAS) advice. The Medicare administrative contractor (B/MAC) has identified its top five denials for the months of July, August, and September and offers solutions and resources. Read more »

Wondering what you should do if you receive a claim denial due to untimely filing that you believe to be unjust? Request a reconsideration. UnitedHealthcare offers advice on what you should submit as evidence of timely filing.

For electronic claims, include confirmation that UnitedHealthcare or an affiliate received and accepted your claim. Effective Dec. 1, proof of timely filing from an electronic claim submission must include confirmation that UnitedHealthcare accepted the claim. The submission report will no longer be accepted as proof of timely filing.

For paper claims, include a copy of a screen print from your accounting software to show the submission date. The information must show that the claim is for the correct patient and visit. Also include other pertinent information, such as an insurance carrier denial/rejection, explanation of benefits (EOB), a letter indicating terminated coverage, etc.