You know the claim before the denial even posts. The surgeon's note is clean, the OR log makes sense, and yet the payer comes back with a mismatch, a downcode, or an adjustment that doesn't fit the
You know the claim before the denial even posts. The surgeon's note is clean, the OR log makes sense, and yet the payer comes back with a mismatch, a downcode, or an adjustment that doesn't fit the
A patient hands your front desk a current insurance card. The visit happens. The claim goes out clean, at least on the surface. Then the remittance lands with an eligibility denial, or a benefit limitation nobody caught,
