Remove blog what-does-a-clearinghouse-do-during-claim-submissions
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Denial Code CO 29: An Ultimate Guide

Etactics

In 2021, there were approximately 48 million denied claims. Claim denials continue to plague the healthcare system, bogging down medical billing personnel when it comes to their day-to-day tasks. So what is the secret to regulating your claim denial rate? So what is the secret to regulating your claim denial rate?

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[Answered] What is Claims Adjudication?

Etactics

30% of insurance claims get denied on their first submission. Part of this is because of the complicated nature of the claim adjudication process. There’s nothing simple about the claim submission process. If you aren’t a seasoned medical biller, you are probably asking yourself, “what is claim adjudication?”

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EDI Enrollment: Everything You Need to Know

Etactics

The introduction of the electronic claims process revolutionized healthcare forever. The paper claim process was so clunky that the average cost of submitting just one of them was $6.63. For comparison, the average cost of submitting a claim electronically is $2.90. Submitting the claims is still a step that needs to happen.

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The Adjudication of Claims: An Ultimate Guide

Etactics

You submit a patient’s claim to their insurance payer, their payer takes a look at it and they pay you. Although that statement is technically true regarding the claim submission process, it’s definitely not easy. After all, there’s a reason why 30% of insurance claims get denied on their first submission.

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How to Choose a Clearinghouse

Icanotes

Mistakes and errors on the claims you submit to insurance companies can delay payment or cause the company to reject your claim. Mistakes and errors on the claims you submit to insurance companies can delay payment or cause the company to reject your claim. What Is a Clearinghouse in Health Care?

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Denial Code CO16: Common RARCs and More

Etactics

86% of all healthcare claim denials are avoidable. I mean, if you told any business that 86% of the revenue that they’re losing on an annual basis could be re-obtained they would instantly implement the workflows necessary to do so. Of course, the true answer to that question is that healthcare claim submission isn’t cut and dry.

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The Definitive Step-By-Step Guide to Mental Health Billing

Etactics

You see, the average initial claim denial rate in Q3 of 2020 alone hit over 11%. What I’m trying to convey is that you’re not the only healthcare professional who’s faced with the challenge of getting paid by client insurance providers. That’s not to dismiss what you’re going through, misery loves company.