What your next steps would be in claims follow-up process

Reference no: EM133707780

Problem: You are reviewing the aging report for your office and discover a claim that has been outstanding for 65 days. The patient has insurance through Blue Cross Blue Shield, so you check the claim status online to determine if there is a problem with the claim and notice that the claim has been through adjudication. The claim was denied for reason code PR 27. Identify the reason code and explain, in 175-350 words, what your next steps would be in the claims follow-up process.

Reference no: EM133707780

Questions Cloud

What are some ways to document the information gathered : How to respond back to someone that said, What are some ways to document the information gathered from a formative assessment?

Which response by the nurse is most appropriate : A client prescribed omeprazole for gastroesophageal reflux disease reports a new occurrence of significant. Which response by the nurse is most appropriate?

What cpt code is reported by the physician : A patient with thickening of the synovial membrane undergoes a fluoroscopic. What CPT code(s) is/are reported by the physician if performed in an ASC setting?

Discusses british history vs english history : Dr. Cohen discusses "British history" vs. "English History" by noting all the different groups who have lived in England.

What your next steps would be in claims follow-up process : The claim was denied for reason code PR 27. Identify reason code and explain, in 175-350 words, what your next steps would be in the claims follow-up process.

Differences between democratic and authoritarian : Identify and research one example of a democratic system (excluding the US) and one example of an authoritarian system.

Which phase of disaster management occurs : Which phase of disaster management occurs when the community health nurse in a community that is geographically vulnerable to storms teaches the community?

Discuss with the group a dose that you recommend : Discuss with the group a dose that you recommend every 8 hours to the parents and provide mathematical evidence that you would share with the parents.

Describe the main mechanisms by which you would recommend : Advanced Integrated Project Management - Critically analyse the function of leadership in a project context and Develop stakeholder engagement strategies

User Account

All Pages