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Claims Processing: How Claims Are Authenticated

Payment for medical services can be a complicated process due to the involvement of a third party (insurance) with interests of its own. You may already know what the process of submitting a medical claim is like, but what happens after the claim leaves your desk and is sent on to the insurer? Here, we’ll […]

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Claims Processing: How to Write a Claim Letter

A health insurance claim letter is a letter a claimant writes to a health insurance company if the claimant’s doctor has not properly filed a medical claim. This letter typically seeks for a reimbursement to the patient after the patient has already paid their medical bill, per the agreement between the claimant and the insurer. […]

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Chiropractic Claims: How to Bill Chiropractic Claims

Chiropractic claims are a little different than most other medical claims. Chiropractic services have only recently been considered medically necessary, and only under very specific circumstances. This makes it even more important for claims to be done correctly so as not to be rejected by insurance companies. Who Covers the Procedures?   Most insurance companies […]

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Claims Processing: How Claims Are Paid

The claims process starts when a service is rendered to a patient who has medical insurance. Once the service is provided, the patient may be responsible for some out of pocket expense, but the rest will be paid through insurance and will involve communication between the medical practice and the patient’s insurance provider. Here, we’ll […]

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Medical Claims: How to Audit Medical Claims

It’s important to stay on top of medical claims and ensure that they are being filed correctly. It will save you and your patients time and money that would otherwise be spent missing or chasing errors with the insurance company. The best way to keep ahead of these mistakes is to conduct medical claim audits […]

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