When a claim is submitted for a procedure that has been performed, it is not unusual for an insurer to deny payment. Often when this happens, it is due to a simple coding error. It could be that everything about the diagnosis was correct and the appropriate procedure was performed, but one code or modifier is missing. A common example is the omission of coding for the tests that document medical necessity. Even if the rest of the information makes it clear that it was necessary, the coding requirements must be followed, literally, to the letter or the claim will be denied.

If a claim is denied or rejected, our billing team is skilled at finding the problem, correcting the claim, and managing the appeal process to get you paid.