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Video Source: www.youtube.com/watch?v=uHtnexqfgjM
#denialmanagement • #medicalbilling • #dminmb • DENIAL REASON - DUPLICATE. • DENIAL CODE - 18. • If same claim filed twice or more for same date of service, then intial claim will be processed and other claims will be denied as duplicate. • If claim filed twice then we need to follow up on initial claim. Need to check claim status of initial claim through insurance representative or through web portal. • If claim filed once and denied as duplicate, then contact insurance representative and request for reprocess of the claim as claim filed only once. • If two services are rendered on same date of service and claim not filed with appropriate modifier. Then claim may deny as duplicate. • In this case, we need to append appropriate modifier and submit corrected claim. • Additional points: • If patient demographic changes made on claim, we need to submit fresh claim. • If any coding corrections made on claim, need to submit corrected claim with resubmission code 7 and original claim number on corrected claim. • Do like the video, if you learnt something out of this video.
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