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CLAIMS (DENIALS (Wrong ICD Code, Incorrect Date of Birth, Incorrect…
CLAIMS
DENIALS
Wrong ICD Code
Incorrect Date of Birth
Incorrect patient name
Wrong CPT code
Provider number
Wrong patient insurance information
Physician not in network
Duplicate claim
Procedure not covered
Member ineligible at time of procedure
Additional documentation needed
Payment applied to deductible
Prexistent condition
Wrong date of service
SOLUTIONS
Maintain up to date ICD and CPT codes
Keep patient's insurance information up to date
Keep insurance information up to date
Proof read all information
Ensure claim is submitted on time
Ensure provider information is current and up to date