Patients are often faced with a dilemma when submitted medical bills for reimbursement. Due to the complexities of health care billing, many times these claims are rejected by insurers. Processing errors are one reason why claims are rejected. These can be caused by incomplete or incorrect information on patient’s eligibility status, benefits, co-pays and deductibles.
To ensure you get reimbursed at 100%, it is important to know about all the rules that govern the reimbursement process in your insurance company. Then you can make sure that your eligibility status, covered benefits, co-pays and other insurance information are submitted correctly on all medical bills.
It is important to ensure that all the details given by patients are correct. These include the patient’s name, address, dates of service and type of care received.
Patients may be surprised when they receive a letter from their insurer stating that the claim has been rejected or denied because it does not meet certain requirements for reimbursement. The insurer offers an appeal process, but being unprepared for this scenario often results in rejection of any appeals as well. This is why it is best to know about the rules governing the reimbursement process with every health plan so you can provide accurate information upfront saving
-- Edited by sharons258 on Saturday 2nd of October 2021 01:12:24 AM
