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Insurance Claim Validation Reminders

Reminder for insurance verification process - Provide details of other insurance used, denial reasons, and screen prints. Support no-claims by submitting date range screen prints. Example denial for providers, DOS, and procedures. January 31, 2012.

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Insurance Claim Validation Reminders

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  1. DATA VALIDATION REMINDERS January 31, 2012

  2. TPL, DC, NR • TPL- Please supply what other insurance was used. • DC- Must submit screen prints with denial reason. • NR- Submit screen prints with date range for the member in question to support no claim in your system.

  3. Denial Example

  4. Denial Example

  5. NR

  6. CRN • Provider • DOS • Procedure • 31/78, 43/78 or 31/75

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