What is “reconsideration” in medical billing?

Reconsideration in Medical Billing

Reconsideration is the process of appealing a denied or underpaid claim to request a review by the insurance company.

Reconsideration in Medical Billing Explained

In medical billing, if a provider believes a claim was wrongfully denied or underpaid, they can file for reconsideration. This process allows the payer to review the claim and make adjustments if necessary.

For example, a provider files a reconsideration request after a claim is denied for lack of medical necessity.

Find common acronyms and abbreviations in Medical billing glossary.

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