Non-Payment Claim in Medical Billing
A non-payment claim is a claim submitted to an insurance company that is denied, resulting in no payment for the service provided.
Non-Payment Claim in Medical Billing Explained
In medical billing, non-payment claims occur for various reasons, such as missing information, lack of medical necessity, or non-coverage of the service. Providers must correct and resubmit these claims or appeal the denial to receive payment.
For example, a claim for a procedure is denied due to missing prior authorization, resulting in a non-payment claim.
See common acronyms and abbreviations in Medical billing glossary.
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