#denialmanagement.
#medicalbilling.
#dminmb.
Comprehending rejection reason:.
Insurance coverage asking for any details from service provider or client after submitting claim is called additional info requested.
It is indicated by rejection code 226 and227
226 is information asked for from service provider.
227 is information asked for from patient.
Extra details like medical records, Patient’s COB or W9 kind etc are requested to process the claim.
first thing initially, we need to check remark code.
Remark code explains what precise information is requested.
If details asked for from patient, need to forward to collection group and Information asked for from provider need to submit documents together with reconsideration kind.
If there is no remark code on EOB. Required to get in touch with insurance to confirm what details asked for by payor.
remark code website: https://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes/
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http://medicalbillingcertificationprograms.org/extra-details-requested-rejection-management-in-medical-billing/
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