There are various reasons for carriers to deny an insurance claim. The reasons for denials can vary depending on the payer, however, the first thing to consider is to know why the claim was denied? The good news is that appealing a denied claim is much easier.
Preparing to Appeal a Denied Claim
Once you are confirmed about the reasons for denials, there are some simple steps you can take to appeal a claim denial.
Reasons for Claim Denial
One of the well-known reasons for claim denial is submission of an inaccurate information. Therefore, attention to detail is of utmost importance for billing and coding. Submitting the right claim for wrong treatment is quite common and this happens because the practice is already occupied. So, there are more chances of mistakes. A thorough and detailed system of checks will go a long way in resolving errors.
Your dental practice can avoid denials by asking these simple questions:
Another common mistake is incorrect coding or treatment diagnosis. It is important to use the most up to date codes. Another way to avoid mistakes is avoiding the confirmation of benefits. The patient’s insurance benefits should be verified before the visit is scheduled.
At Capline, our experts can help you appeal a denied claim. We work relentlessly to solve these problems. Get in touch with our experts and say goodbye to claim denials and rejections.