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Even practitioners who take precautions to avoid insurance payment pitfalls sometimes find themselves faced with a claim’s denial. Handling denied insurance claims can be frustrating, time-consuming, and complicated and this is where we come in. We know the best strategies for resolving claims denials which will help both the clients and also save practitioners save time and improve their professional practice.

We carefully review all notifications regarding the claim: When you receive remittance advice, explanation of benefits, or other notification from an insurance company regarding a claim, review it carefully. The notifications indicate whether the claim was paid in full, delayed, partially paid, or denied. If the claim is determined to be “unclean” or contested, we will follow the insurer’s instructions for resubmitting the claim along with any missing or corrected information. If the claim is partially paid or if payment is denied, the notification should specify the reason(s) and outline the specific procedures and documentation required to resubmit the claim or file an appeal and we will help with the process to get this done quickly.