A rejected claim usually traces back to a small data error made at intake. Fixing the process is cheaper than fixing claims one by one.
Collect the right details
Capture the name exactly as it appears on the insurance card, the date of birth, the member ID and the subscriber’s information, and scan both sides of the card.
Verify before the first visit
Check eligibility and benefits ahead of the appointment, and confirm any authorization requirements and copays.
Recheck regularly
Ask clients about coverage changes at the start of each year and whenever a claim is rejected.
Track your rejection reasons for a quarter. The pattern shows where to improve.