This Week's Q & A: What is the #1 reason for denied claims?

Question: What is the #1 reason for denied claims?

Answer: Hoping to avoid the topic won't make the problem go away. Of course, no one wants to discuss claim denials but the only way to prevent them is to be aware of what they are. Understanding the reasons why medical claims deny can help limit the number of denials your office receives. Read the top ten reasons that claims are denied.

The #1 reason for denied claims is:

Incorrect patient identifier information

• Name spelled incorrectly
• Date of birth doesn't match
• Subscriber number missing or invalid
• Insured group number missing or invalid

Read the top ten reasons that claims are denied.