{"id":144,"date":"2019-07-08T18:23:15","date_gmt":"2019-07-08T18:23:15","guid":{"rendered":"https:\/\/www.bradybilling.com\/blog\/?p=144"},"modified":"2019-08-13T18:26:54","modified_gmt":"2019-08-13T18:26:54","slug":"find-out-what-happens-when-your-medical-insurance-claim-is-denied","status":"publish","type":"post","link":"https:\/\/www.bradybilling.com\/blog\/find-out-what-happens-when-your-medical-insurance-claim-is-denied\/","title":{"rendered":"Find Out What Happens When Your Medical Insurance Claim is Denied"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2019\/08\/AdobeStock_163792215__1565720611_97625.jpg\" alt=\"A man sitting at a table with a medical professional \" class=\"wp-image-145\" width=\"278\" height=\"185\" srcset=\"https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2019\/08\/AdobeStock_163792215__1565720611_97625.jpg 800w, https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2019\/08\/AdobeStock_163792215__1565720611_97625-300x200.jpg 300w, https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2019\/08\/AdobeStock_163792215__1565720611_97625-768x513.jpg 768w\" sizes=\"auto, (max-width: 278px) 100vw, 278px\" \/><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Just when you think everything is running smoothly, and your patient is ready to move forward with their sleep apnea treatment, you suddenly learn that <a href=\"https:\/\/www.bradybilling.com\/our-services.html\">medical insurance denied<\/a> the claim. How could this be? Unfortunately, this is a reality, and when this happens, it can cause serious delays and problems for both you and your patients. This is where a third-party billing provider can intercede and work to get you and the patient the payment deserved. Find out what happens in this type of situation and what Brady Billing can do to help.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">What Happens When a Claim is Denied?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Typically, the standard procedure when a claim is denied is\nto file an appeal. You can rely on your third-party billing provider to take on\nthis responsibility. They will send a letter that incorporates your argument against\nthe denial, as well as any supporting documentation or evidence. Remember, in\nany time of appeal case, it\u2019s important to remain focused on the specifics the\ninsurer gave for denying a particular claim. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">By providing additional explanation and supporting\ndocumentation, this will hopefully reduce the chances of the claim being denied\nagain. But if it is denied once more, keep re-applying.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why Would a Claim be Denied?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There are many reasons a medical insurance claim can be\ndenied. In fact, apart from the \u201cgeneral\u201d errors such as demographics, date of\nbirth, and other basic form information, an insurance company can deny a claim for\na long list of reasons. Some of these include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Treatment is not a necessity. If the patient is\nreceiving useful and effective treatment with a CPAP machine, there is no need\nto approve oral appliance therapy because it\u2019s not essential. <\/li><li>A patient\u2019s sleep apnea is not deemed severe\nenough.<\/li><li>Coding errors or omissions<\/li><li>No prior authorization<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on a patient\u2019s individual insurance plan, there\ncan be levels that determine how severe the sleep apnea must be before treatment\nis approved. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Can Brady Billing Help?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The professionals at Brady Billing understand how to handle\nmedical insurance companies. When situations like this arise, they are ready to\nfight for you and your patients, and they will make sure to do everything\nwithin their power to get your patient the maximum reimbursement they deserve. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But one aspect about this billing company is that their\nunique system and services make it less likely for claims to be rejected or\ndenied. How? Before any electronic claim is submitted to the insurance company,\nit is pushed through a preliminary clearing, which picks up on errors or missing\ninformation. This process significantly lowers the likeliness that you or your\npatient will experience problems with the insurance company when it comes to\napproving treatment. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Don\u2019t get stuck fighting battles with the insurance company.\nLet a third-party billing company do that for you! Brady Billing experts are\nready to assist in helping your practice thrive. Not only do we want to help\nyou, but we want to help your patients feel confident about choosing you to\ncare for their dental needs. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>About Brady Billing<br><\/strong>We specialize in dental offices that provide sleep medicine services and offer billing services for dentist offices throughout the country. By offering a range of billing services, we can assist in answering your questions and providing a complimentary consultation to discuss available services. To find out how we can help you, visit our <a href=\"https:\/\/www.bradybilling.com\/contact-us.html\">website<\/a> or call <strong>(844) 424-5548<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Just when you think everything is running smoothly, and your patient is ready to move forward with their sleep apnea treatment, you suddenly learn that medical insurance denied the claim. How could this be? Unfortunately, this is a reality, and when this happens, it can cause serious delays and problems for both you and your [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-144","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medical Insurance Denied | Appeal Claim | Brady Billing<\/title>\n<meta name=\"description\" content=\"Did you receive a notice saying that medical insurance denied a claim? 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