The Purpose of the Appeals Process in Medical Billing
The appeals process allows healthcare providers or patients to challenge a denied claim or an underpayment by an insurance company.
The Purpose of the Appeals Process in Medical Billing Explained
In medical billing, the appeals process helps ensure that claims are reviewed fairly and paid accurately. Providers can submit additional documentation to support their claims and request reconsideration for services that were denied or underpaid.
For example, a provider appeals a denied claim by submitting medical records that justify the necessity of a procedure.
Learn more about common acronyms and abbreviations in Medical billing glossary.
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