REFERRAL MOCK CALL V BILLINGS
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- 教學
https://www.youtube.com/watch?v=nKY3LAITtvs&list=PL5RwhjoJ5VJNVVzWNpzi7NDalFv01pW7K&index=3
REFERRAL_MOCK_CALL|US PAYER REP & AR CALLER |MEDICAL BILLING TRAINING
Claim denied for missing/invalid REFERRAL :(BLOCK 23)
RENDERING PROVIDER:
A provider who provides actual service.
REFERRING PROVIDER/Primary Care Physician/ Family Doctor:
A provider who provides initial service.
² Questions to probe with Payer Rep:
²Claim received date?
²Claim denied date?
²Check system for referral is available or not if found give that to rep and reprocess
²Check claim image if referral# found in Block#23 give that to rep for reprocess
²If referral# not found in anyway, ask rep what is PCP (primary care physician) name and PCP phone# and get the corrected claim address and time filing limit
²Claim# and Call reference#
²Thank you.
²
***Note:
PPO & EPO plan doesn't require a referral, if the patient plan is PPO & EPO ask the rep to reprocess.
https://www.youtube.com/watch?v=nKY3LAITtvs&list=PL5RwhjoJ5VJNVVzWNpzi7NDalFv01pW7K&index=3
REFERRAL_MOCK_CALL|US PAYER REP & AR CALLER |MEDICAL BILLING TRAINING
Claim denied for missing/invalid REFERRAL :(BLOCK 23)
RENDERING PROVIDER:
A provider who provides actual service.
REFERRING PROVIDER/Primary Care Physician/ Family Doctor:
A provider who provides initial service.
² Questions to probe with Payer Rep:
²Claim received date?
²Claim denied date?
²Check system for referral is available or not if found give that to rep and reprocess
²Check claim image if referral# found in Block#23 give that to rep for reprocess
²If referral# not found in anyway, ask rep what is PCP (primary care physician) name and PCP phone# and get the corrected claim address and time filing limit
²Claim# and Call reference#
²Thank you.
²
***Note:
PPO & EPO plan doesn't require a referral, if the patient plan is PPO & EPO ask the rep to reprocess.
5 分鐘