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Saturday, April 23, 2011

INCORRECT FILING OF CLAIMS TOWARDS ACCESS HEALTH

DESCRIPTION OF THE ISSUE
All the claims filed under Access Health were unpaid since it has to be filed along with authorization towards Medipass.

CONCEPT
Per standard instruction from the carrier, we are suppose to bill all the Access Health Claims towards Medipass with authorization# of the concerned Provider’s NPI.

SOLUTION
Per call verification with Access health for claim status informed that all the claims should be filed to Medipass along with Authorization.  Hence we refiled all the claims along with authorization# towards Medipass.  

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