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Billing Medical Insurance: Claim Disputes & Challenges

When we ask offices why they do not bill medical insurance the reasons range from “it’s too hard” to “I don’t have time.” However, medical billing will help your patients make the most of their benefits and strengthen your practice with a new revenue stream and increased case acceptance. According to a national study, 65% of medical claims are never challenged! Here are a few tips for billing medical insurance and insurance company policies you need to know. Aetna   Claim reconsideration – this takes place prior to a formal appeal.  Issues that would warrant reconsideration are not limited to: Provider contract issues Claim payment policies Processing errors (them thinking this is for dental issues) Things to remember: Reconsiderations must be

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Crystal May

Co-Founder & COO
Dental Sleep Medicine & Medical Billing

Laurie Owens

Director of Medical Billing Education
Medical Billing

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