Oct 27, 2009 | Medical billing basics
Background: Type of Service (TOS) is an indicator that the contractor places on the Form CMS-1500 paper form or electronic format. The indicator is mainly used for data purposes. However, in some instances it affects payment. All HCPCS codes have a corresponding TOS...
Oct 26, 2009 | Medical billing basics
Denial claim is a cliam which is not paid for some reason. Usually EOB itself clearly having the reason for denial which is called as denial codes. We need to find this denial codes and need to take the action accordingly. The commone denial reason are given below. 1....
Oct 26, 2009 | Medical billing basics
Recently Quality Health Plan has changed the claim submission address. See the below message from insurance. Please submit all claims to Quality Health plan Attn : Claims department P O BOX 340749 Tampa FL 336974 – 0749 Please do not submit the claims if already...
Oct 24, 2009 | Medical billing basics
Knowing about denial EOB is very importance process in Medical billing. See the example denial EOB picture.We need to look the adjustment code and remark code to find denial reason. And go to the summary part see the explanation of the denial and take the action...
Oct 24, 2009 | Medical billing basics
EDI Defined Short for Electronic Data Interchange, “ EDI ” is the transfer of data between companies by use of a computer network. Electronic data transfers are called “ transactions. ” Different transactions have unique functions in...
