Difference Between a Denied and Rejected Claim

In medical billing, a denied claim and a rejected claim are not the same and understanding the difference is critical for faster reimbursements and fewer billing headaches.A rejected claim has errors that prevent it from being processed at all. A denied claim is processed but refused for payment based on policy or eligibility issues. What … Read more

What is Rejection? & How to work on Rejections?

Rejection

Rejection: Below are a few most common rejections with resolution steps: 1) Policy ID invalid / Patient or Subscriber not identified:      I) When a claim is billed with an incorrect policy ID: Insurance Policy ID Format Policy ID Examples 1199 SEIU FUNDS 10 digits number 1234567890 AARP 11 digits number 12345678901 Aetna 10 digits … Read more