Your claims are being denied!
For many practitioners, navigating the insurance credentialing and billing process is a deterrent. Understanding the jargon used by insurance companies can be daunting. Many clinicians find the delay between submitting a claim, getting a status update and receiving payment the biggest barrier. Even more clinicians indicate being overwhelmed by all the various reasons a claim could be denied or rejected.
Let’s talk through 5 of the most common reasons your claims may be denied and what you can do about it.
First, the client’s covered has terminated. This could happen for a variety of reasons. The obvious answer is that the client didn’t pay the premium. Equally as likely is that client failed to update the clinician that their coverage has changed to a new policy or company