Top 10 Most Common Claim Denials
Denials can be a massive thorn in a practice’s side. Chasing claims and resolving denials can be a huge time suck for your billing staff. Today on the blog, we will share the top 10 most common denials for physician practices. Verifying Eligibility & Benefits: A patient who is either ineligible or has no or expired insurance coverage will result in a denied claim. Missing or Incorrect Information: The most common mistake is missing critical information when the claim is submitted, e.g., missing service code, fields left blank, wrong plan code, etc. Due to sheer negligence, sometimes we make silly mistakes, like the birth year 1957 can be written mistakenly as 1975. Incorrect Patient Demographics: Anything in the basic patient demographics can be wrong, ranging from a patient’s nickname instead of a full name on the file, wrong DOB, and incorrect insurance ID can straightforwardly lead to a denial. Non-covered Services: Often, we fail to check eligibility and do not call payers to