Two Types of Claim Rejections Clearinghouse vs. Payer

🎥 *Two Types of Claim Rejections: Clearinghouse vs. Payer* 💡
Not all rejections are the same! When it comes to medical billing, understanding the two main types of rejections can save you time and effort:
1️⃣ **Clearinghouse Edits/Rejections**: These happen before the claim even reaches the insurance payer. Think of them as a pre-check 🚦-issues like invalid codes or missing fields are flagged here. Fix these early to avoid delays!
2️⃣ **Payer Rejections**: These occur after the claim has passed through the clearinghouse and is sent to the payer. Reasons include invalid patient information, policy issues, or non-covered services.
The key? Knowing where the rejection happened helps you take the right steps to resolve it quickly! 🕵️‍♀️
Follow for more tips to master the medical billing process with Inlera University! ✅
#MedicalBilling #InleraUniversity #ClearinghouseRejections #PayerRejections #HealthcareAdmin

[@rajamj5142]

Amen 🙏

[@Ganu321]

Can u please make a video to clarify the offset and the recoupments.

[@erickkmadrigal9782]

Like Inovalon, I hate that clearinghouse😂