balanced out claim situation - [denial management] in medical billing

balance out

comprehending balanced out

payment of our claim is adjusted from offset claim. This is since balanced out claim was either paid too much or paid in mistake. In this case, we need to get offset account’s patient name, offset claim #.

Typically representative will decline to provide these details over call as per hippa standards.

If rep refuse to offer this information over call, we need to request associate to send claim EOB and balance out EOB through fax or mail.

Once we get inquired, payment publishing will be done.

Notes:

Ins. no response received. so contacted and spoke
with associate, stated claim processed as balanced out. claim
number, paid quantity. no client duty.
balanced out account information. rep refuse to supply
balanced out info over call. so requested representative to
sent eob and offset eob through fax. call ref #.
received requested information through fax. for this reason
forwarded to payment publishing dept.

Thank you for seeing this video
Please do enjoy my other videos denial management explained in animation.

http://medicalbillingcertificationprograms.org/balanced-out-claim-situation-denial-management-in-medical-billing/