“Allowed” amount or rate when submitting claims to insurance
“Allowed” amount or rate is defined as the maximum amount insurance will pay for a covered service code. Based on the patient’s insurance policy, it will determine who pa
Coordination of Benefits (COB)
Coordination of benefits (COB) is a reason why claims are “Denied.” Coordination of Benefits (COB) is when a patient has more than one healthcare insurance company. The
Common reasons claims denied or rejected by insurance
There are various reasons why claims are denied or rejected by insurance. The best way to avoid claims being denied is to submit “clean” claims on the front end. Th