ClaimsManagement

Denial Code 246

Conquer Denial Code 246 Non-Payable Claim for Better RCM

Leave a Comment / January 2025

As a practice manager, healthcare provider, or practice owner, you recognize that claim rejections create instant financial friction. Denial Code 246 Non-Payable Claim is a critical issue. This non-payable code signals that a claim has been halted before adjudication. Consequently, the claim is returned unpaid, demanding immediate administrative attention. Therefore, grasping the precise causes of […]

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clearinghouse rejections

Conquer Clearinghouse Claim Rejections for Faster Pay

Leave a Comment / December 2024

Healthcare providers and practice managers often face the frustrating challenge of Clearinghouse Claim Rejections. These are not payer denials. Instead, they are crucial alerts. They signal opportunities to rectify technical errors and ensure timely claim payments. By understanding the common causes of these rejections and implementing effective solutions, you can streamline your revenue cycle. Ultimately,

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CO-167 Denial Code

CO-167 Denial Code: Fix Service Not Covered Denials

Leave a Comment / August 2024

For practice managers and healthcare providers, the CO-167 denial code represents one of the most frustrating challenges in medical billing. This rejection occurs when insurers determine that “this service isn’t covered” under the patient’s specific health plan. These denials lead to immediate revenue loss, wasted administrative resources, and damaged patient relationships. However, with proper understanding and strategic

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Denial Code 109

Prevent Denial Code 109 in Your Healthcare Practice

Leave a Comment / July 2024

Denial Code 109, the “non-covered service” rejection, creates a major headache for practice managers, healthcare providers, and practice owners. This denial happens when insurers reject a claim because the service falls outside a patient’s plan benefits. The good news? We can prevent most of these denials. By understanding their root causes and adopting proactive protocols,

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