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BAYARENAC BEHAVIORAL HEALTH POLICIES AND PROCEDURES MANUAL Chapter: 8 Section: 7 BayArenac Behavioral Health Claims Topic: 1 Page: 1 of 3 Duplicate Claims Dispute Resolution Affiliation CEO Approval
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How to fill out duplicate claims dispute resolution

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How to fill out duplicate claims dispute resolution:

01
Identify the duplicate claim: Begin by reviewing the claims submitted and identifying any duplicates. Look for any identical claims that have been mistakenly submitted more than once.
02
Gather supporting documents: Collect all necessary supporting documents related to the duplicate claim, such as receipts, invoices, or any other evidence that can prove the claim's legitimacy.
03
Contact the relevant department or agency: Get in touch with the department or agency responsible for handling the claims and inform them about the duplicate claim. They will provide you with the necessary forms or instructions to fill out.
04
Fill out the dispute resolution form: Complete the dispute resolution form provided by the department or agency. Make sure to include all relevant details, such as the claim number, date of submission, and any additional information that can help identify the duplicate claim.
05
Provide supporting documentation: Attach copies of the supporting documents you gathered earlier to the dispute resolution form. This will help substantiate your claim and validate the existence of the duplicate.
06
Submit the form and documents: Once you have filled out the dispute resolution form and attached the supporting documentation, submit them to the appropriate department or agency. Follow any specific instructions provided regarding submission method and deadline.

Who needs duplicate claims dispute resolution:

01
Individuals who have mistakenly submitted the same claim multiple times.
02
Companies or organizations that have unintentionally filed duplicate claims.
03
Anyone seeking to rectify and resolve the issue of duplicate claims with the relevant department or agency.
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Duplicate claims dispute resolution is a process to resolve issues where multiple claims have been submitted for the same service or treatment.
Healthcare providers and insurance companies are required to file duplicate claims dispute resolution when there are duplicate claims identified.
Duplicate claims dispute resolution can be filled out by providing information about the duplicate claims, reasons for the duplication, and any supporting documentation.
The purpose of duplicate claims dispute resolution is to review and resolve duplicate claim submissions to ensure accurate billing and reimbursement.
Information such as the claim numbers, dates of service, names of providers, and reasons for the duplication must be reported on duplicate claims dispute resolution.
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