If the answer is "No", or simply "I'm not sure", then keep reading.
Today we'd like to share a real world experience of how our team took an insurance claim denial for a very specific reason, vigorously followed up with the insurance company for over a year to eventually release a $1,500 payment to one of our clients.What happened?
The insurance company denied the claims for a PCP who takes CAPITATION patients. However, the physician was not getting paid for two patients who were seen in hospital but were not under her CAP list. It's a common problem for PCPs, one that is too often ignored.
What did PracticeForces do?
We followed up rigorously with the insurance company for over 1 year, until the $1,500 was paid in full to our client. The claims were from 2015 and early 2016, and pretty much everyone from the hierarchy was involved. Ultimately, it was a lot of work done on our part for $1,500, but it was the right thing to do and demonstrates our commitment to getting the doctor paid for the services rendered.