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Coding Denial Guide

A detail guide to all your medical coding denials.

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Denial Terminology- Provider, Beneficiary, Payer

Provider: Refers to the Physician who provides the service Beneficiary: A person or group that receives certain profits, benefits, or advantages, under a will or insurance policy. Payer: Refers to an Insurance Company

Basic Denial Terminology

Usually, the context of a discussion will always be judged by the terminology that we use. Likewise in Denials also, there are some very important terms that we need to know. They are: Claim Form EOB ERA Adjudication Payer Provider Beneficiary Co-Pay Co-Insurance Co-ordination of Benefits And the list continues. Don't worry, we will discuss about each term in detail in up coming posts. Stay tuned by subscribing..

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Adjudication
Beneficiary
Claim Form
Co-Insurance
Co-ordination of Benefits
Co-Pay
Coding denials
Denials
EOB
ERA

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Provider

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Denials
CPT Coding Tips
ICD Coding Tips