Extra details asked for – [denial management] in medical billing

Extra details asked for – [denial management] in medical billing

#denialmanagement.
#medicalbilling.
#dminmb.

Comprehending rejection reason:.

Insurance requesting any information from supplier or client after sending claim is called extra details asked for.

It is shown by denial code 226 and227

226 is info asked for from company.
227 is details asked for from client.

Additional information like medical records, Client’s COB or W9 type etc are requested to process the claim.

Thing first, we require to inspect remark code.
Remark code describes what specific details is requested.

If info asked for from client, require to forward to collection group and Details requested from provider need to send documents together with reconsideration form.
If there is no remark code on EOB. Required to contact insurance to confirm what details asked for by payor.

remark code site: https://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice-remark-codes/

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6 Comments »

  1. jai krishna March 11, 2020 at 9:00 am -

    You'' re doing great task … Why put on'' t you post more videos on rejections ??

  2. Akber Khan March 12, 2020 at 8:17 am -

    Excellent and Easy to understand

  3. Rogith Kumar March 27, 2020 at 8:54 pm -

    Please do more videos routinely, Thank you a lot

  4. Sandeep Sandy April 22, 2020 at 5:46 pm -

    Due to Lockdown am totally free nw, and am discovering lots of new things from ur excellent video'' s these are assisting and keeping me reminding Thanku sir for ur fantastic time to teach us, plz do more videos on denials

  5. praveen shashi May 12, 2020 at 9:04 pm -

    What is w9 kind

  6. mohit shukla June 1, 2020 at 9:11 am -

    Can u discuss N179