Check Out the 5 Most Common Reasons for Denial of Medical Billing

1. Check Out the 5 Most Common Reasons for Denial of Medical Billing A Presentation by Max BPO

2. Missing information This reason alone is responsible for 42% of write-offs. Leaving even one blank field can deny your claim. For example: Demographic or technical error, incorrect plan codes, or missing social security number.

3. Duplicate Claims It happens when a claim is resubmitted for a single encounter on the same day by the same provider for the same patient and same service. 32% of Medical Bills are denied because of this reason.

4. Pre-adjudicated Services This denial happens when benefits for a certain service are included in the payment of another service or procedure that has already been adjudicated.

5. Uncovered Procedures This denial happens when a claim is submitted for the procedure that is not a part of the patient's current plan. This denial can be easily avoided by going through once from patient’s plan.

6. Claim Filed After Expiration Period This denial happens when a claim is not submitted within the payer’s required days of services.

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