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Preventing Health Insurance Claim Denials After Your Medical Visit
Post-Visit Providers More chances for messed-up claims as the clinic or facility gets ready to close up for the day. During this time, staff examines the volume of patients seen, types of services provided and the “third-party payer mix” to determine their revenue cycle. Whether they generate claims at the end of this day…
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Anthem Health Insurance Experiences and Warnings
True Tales from the Health Insurance Wars – Wellpoint Customers BEWARE – I have paid large premiums and have not been surprised by the large annual premium increases believing that I would get great care and coverage for my family holding a policy with Anthem BC/BS. Don’t make my mistake and think…
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5 Simple Ways to Prevent a Denied Medical Claim
Everyone fears it: The denied claim. Let’s face it. We have all heard the horror stories on television about denied healthcare claims. These stories strike at the heart of our fears. What if we need an operation or procedure performed, and our individual health insurance company returns a denied claim? Worse: What if our son…
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In-Depth Look at the Medical Insurance Claims Process and Common Issues
We spent some time looking at the medical insurance claims process in general, but it’s worth taking a closer, more detailed look in order to see just how many places the whole thing can go wrong and end up with a claim denied. This is the medical insurance claims billing work flow in depth –…
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Insights and Analysis on Health Care Reform and Medical Claims
Health Care Reform – A Global Perspective Dear Readers, With health care reform dominating so much of the news today, it’s the first subject that I’d like to talk about in this new health insurance blog. It takes an academic approach, but it may help cut through the fog of the 24 hour news…
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How Medical Bill Auditing Can Save You Money on Hospital Stays
Medical bill auditing is important in situations where you have extensive medical treatment, such as that involved with an extended hospital stay. With numerous medical personnel attending to your treatment and care, there are bound to be mistakes made in properly recording the services you received and the medical supplies used. Auditing your medical…
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Strategies for Effective Interaction with Health Insurance Customer Service
Customer Service Tools Dealing with health insurance customer service can be a frustrating experience. Fortunately, there are ways to minimize your grief: Call early in the morning to talk to a refreshed and energetic rep. Avoid peak hours such as lunch time and the end of the day. Regardless of when you make the…
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Steps to Understand Medical Claim Submission and Avoid Insurance Problems
Submission Providers After the appointment, the doctor sends a bill to an insurance claims processing center. It’s a primary locale for health insurance problems to arise. They gather all relevant information – the patient appointment sheet, intake forms and the proper services documentation. These are compared to the patient’s policy to see if…
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Critique of United Healthcare’s Corporate Culture
The following is an expression of Free Speech protected under the First Amendment of the Constitution of The United States of America. It is the opinion and property of the author and is for entertainment purposes only . As such it should not be considered actionable by any parties mentioned herein. It’s not too…
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Common Reasons Medical Claims Are Denied During Preparation
Prepare It’s not even a bill yet, but a denied medical claim often begins before a visit to the provider’s office or healthcare facility. Each stage in medical claim preparation is someplace where the claim can get “screwed up” and should be looked upon as such For instance, if the contract with the…