When checking for duplicate claims, check for changed subscriber information
If a claim is submitted within 24 hours of the same claim but has different subscriber or patient information, don't reject the claim as a duplicate. Corrected claims keep getting rejected as duplicates.
7
votes
1 comment
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Robin Maddux
commented
The claim should be pushed through no matter what!! A computer system should not decide that a claim should be rejected because it is a duplicate. There should be a check box or something for "RESUBMISSION".