What is “rejected claim” in medical billing?

Rejected Claim in Medical Billing

A rejected claim is a claim that has been returned by the insurance company due to errors or missing information, preventing it from being processed.

Rejected Claim in Medical Billing Explained

In medical billing, rejected claims must be corrected and resubmitted for processing. Common reasons for rejection include incorrect coding, missing patient information, or issues with insurance eligibility.

For example, a claim is rejected because the patient’s insurance number was entered incorrectly, and the provider must resubmit the corrected claim.

Find common acronyms and abbreviations in Medical billing glossary.

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