decisionhealth Newsletters, Answer Books - 2010 Issue 7 (July)
Coding Tips and Resources / What to do about unpaid claims
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Article Overview
This article is aimed at medical office staff and coders who need practical guidance on what to do when a claim has not been paid after several weeks. It discusses general follow-up options, the importance of checking claim status rather than repeatedly resubmitting, and retaining payer remittance information to help manage unresolved claims and reduce avoidable delays.
Why This Topic Matters
Unpaid claims can slow cash flow and increase accounts receivable. Understanding common follow-up practices can help offices manage claim tracking more efficiently and avoid unnecessary administrative rework.
What You Will Learn
- How to approach a claim that has not been paid after several weeks
- Why claim status checks can be more useful than repeated resubmission
- Why payer remittance records should be kept on file
- General timing considerations before contacting a payer about an unpaid claim
Who Should Read This
- Medical office staff
- Billers
- Coders
- Revenue cycle staff
- Practice managers
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