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February 16, 2009, Dear Inpatient Provider, Subject: Resubmission of Claims Under the Health Insurance Portability and Accountability Act (HIPAA), national patient status codes went into effect on
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Resubmission of claims is the process of re-submitting a claim to an insurance company for reimbursement after it has been denied or underpaid.
Healthcare providers or facilities are required to file resubmission of claims.
Resubmission of claims can be filled out by following the instructions provided by the insurance company, which may include providing additional documentation or correcting errors on the original claim.
The purpose of resubmission of claims is to correct any errors or deficiencies in the original claim submission in order to receive proper reimbursement from the insurance company.
The information that must be reported on resubmission of claims includes the patient's information, the service provided, the diagnosis code, and any supporting documentation.
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