• RSS Feed

Last modified on 1/23/2014 3:16 PM by User.



Edits Addressed properly

1.     All edits on the claim reviewed and resolved based on department guidelines

2.     All charges placed in non-covered allowanced properly (correct amount & code)

3.     Overlaps with previously submitted claims, or potential overlaps on the 72 – hour report addressed properly

Site Assignment

1.     Claim assigned to the appropriate site rep with appropriate note


Queue Management

Claims needing additional review moved to the hold queue and note