decisionhealth Newsletters, Answer Books - 2009 Issue 9 (September)
Deadlines for Filing Claims / Carrier Says it Doesn't Have Your Claim
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Article Overview
This article is a practical claims-administration guidance piece for billers, coders, and office staff dealing with denied or missing claims. It focuses on what to do when a payer says it does not have a claim that was reportedly filed on time, and it discusses the kinds of supporting documentation that may help establish the filing date. The article is relevant to revenue cycle teams that need to understand filing deadlines and how to respond when a submitted claim cannot be located.
Why This Topic Matters
Missing-claim disputes can delay payment and create unnecessary rework. Understanding the general response process and the importance of documentation helps providers support timely-filing appeals and reduce avoidable claim denials.
What You Will Learn
- How to respond when a payer says a claim was not received
- What kinds of documentation may support a timely-filing dispute
- Why preserving evidence of mailing or filing matters in claims administration
- How missing-claim issues can affect payment workflow
Who Should Read This
- Medical billers
- Coders
- Revenue cycle staff
- Practice managers
- Office personnel
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