First, check the adjustment details by navigating to Billing > Claims > Rejected and Denied > Rejection Details.
See View Claim Rejection Reason for more information. This will give you the insurance description of the issue.
Here are some resources that can help you identify and correct those claims:
- Common Rejection Reasons and Fixes
- Insurance Billing Workflow: Manage Claim Rejections & Resubmissions with Ensora Clearinghouse
After you've pinpointed the necessary corrections, please update the system with the latest information and you can resubmit the claim. If you require assistance specifically with updating the software, don't hesitate to contact us. We're here to assist!
For more information on specific actions see:
- Resubmit a Claim
- Resubmit a Voided Claim
- Resubmit a Paid Claim that is in the Paid/Processed Tab
- Resubmit a $0 Pay Claim that is in the Paid/Processed Tab
- Resubmit a Claim that is in the ERA Received Tab
If you require further clarification or assistance on why your claims were rejected or what is needed to fix them, contact your insurance provider’s EDI department for more information. Alternatively, you may consider hiring a medical biller who can help you understand and rectify the claim rejections.