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Submit medical records and/or additional information required to reconsider the claim o Information should be submitted single sided Please refer to the provider manual for provider filing timeframes. Examples of Reconsiderations Itemized Bill All claims associated with an Itemized Bill must be broken out per Rev Code to verify charges billed on the UB match the charges billed on the Itemized Bill. Please attach I Bill that is broken out by rev code with sub totals. Examples of...
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How to fill out aresubmissionisdefinedasaclaimoriginallydeniedbecauseofincorrectcodingwould

01
To fill out a resubmission, follow these steps:
02
Obtain the denied claim originally filed with incorrect coding.
03
Review the denial reason and identify the incorrect coding that caused the denial.
04
Correct the coding errors according to the guidelines provided by the payer or relevant coding manuals.
05
Fill out a new claim form with the corrected coding and necessary information.
06
Attach any required supporting documentation or explanations for the resubmission.
07
Clearly indicate on the claim form that it is a resubmission for a previously denied claim.
08
Submit the resubmission claim to the payer through the appropriate channel (e.g., electronically or by mail).
09
Keep records of the resubmission, including submission date, confirmation of receipt, and any additional correspondence or communication related to the resubmission.
10
Monitor the status of the resubmission claim to ensure proper processing and payment.
11
Follow up with the payer if needed, addressing any inquiries or requests for further information regarding the resubmission claim.

Who needs aresubmissionisdefinedasaclaimoriginallydeniedbecauseofincorrectcodingwould?

01
Anyone whose claim was originally denied because of incorrect coding would need to fill out a resubmission. This includes healthcare providers, medical billing and coding professionals, and facilities that bill for services or procedures.
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A resubmission is the process of correcting and resubmitting a claim that was initially denied due to coding errors.
Healthcare providers or medical billing specialists may be required to file a resubmission in this case.
To fill out a resubmission, correct the coding errors, update any necessary information, and resubmit the claim following the specific guidelines of the insurance provider.
The purpose of a resubmission is to correct errors and provide accurate information to ensure the claim is processed and paid correctly.
The corrected coding information, any additional supporting documentation, and any updated patient information may need to be reported on a resubmission.
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