DESCRIPTION OF THE ISSUE
Advantra was
undertaken by Coventry beginning of 2010. This was not noticed and
the forwarded claims of Advantra were in pending for long
duration. Upon notification and filing of claims towards Coventry
resulted in TFL denials.
CONCEPT
Carrier updates should
be carefully noticed and gathered from the Dr’s office by the Billing office.
SOLUTION
After a long follow up
we started filing claims towards Coventry Healthcare which resulted in TFL
denials. These denied claims were appealed with appropriate
proof and the claims were reimbursed by the carrier successfully
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