Claim is also a later step in the process. The first step is prior authorization. So they could deny the prior auth that leads to work not being done which leads to no claim to count as a denial. Or a patient doesn’t submit the claim because it had a denied prior auth, so again no denied claim. 90% on claims is a terrible percentage.
Claim is also a later step in the process. The first step is prior authorization. So they could deny the prior auth that leads to work not being done which leads to no claim to count as a denial. Or a patient doesn’t submit the claim because it had a denied prior auth, so again no denied claim. 90% on claims is a terrible percentage.
This is people’s lives they’re fucking with