What should be done when errors are found in denied claims?

Study for the Medical Insurance Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

When errors are found in denied claims, the appropriate course of action is to correct any mistakes and resubmit the claim following proper protocols. This approach ensures that the necessary corrections are made, which can address the reasons for the denial and allow for the claim to be reconsidered for payment.

Resubmitting after corrections helps maintain the integrity of the billing process and preserves the provider's right to receive payment for services rendered. It is essential to carefully follow the insurer's specific guidelines for appeal or resubmission, as each insurance company may have different requirements regarding documentation, timelines, and formats for resubmission.

Furthermore, simply rewriting the claim completely or ignoring it and filing a new one would not effectively address the issues that led to the denial. Contacting the patient for more information may be valuable in some situations, but it is usually secondary to correcting the claim and submitting it correctly to the insurance company.

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