Denial Analysis
At Foss, denial specialists thoroughly examine procedure denials, assess if they can be appealed, handle all the necessary paperwork to facilitate payment, and track the progress of your appeal through adjudication to increase reimbursement success.
We proactively pursue all unpaid or underpaid claims that exceed 25-35 days (the typical timeframe for a claim to be paid or denied). During this critical period, having a professional medical billing company is crucial, especially given how insurance companies complicate the appeal process by imposing tighter filing deadlines.
Medical claims can be denied for several reasons, including:
We help practices of all sizes resolve issues with lost, delayed, or underpaid claims. Connect with our 24/7 medical billing and coding consultancy for the support your practice requires.
- Lack of sufficient information to process the claim.
- Human error, such as incorrect coding of the service on the claim.
- Services provided are not covered by your insurance plan.
- The lifetime maximum limit with your insurance provider has been exceeded.
