Thursday, 14 August 2014

ADVANTRA CLAIMS WERE NOT REDIRECTED TO COVENTRY HEALTH CARE

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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