Record completed transactions and address suspended claims

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Reference no: EM134032774

Question

Reconciliation is the process of resolving or settling the payment of claims. This month ABC Pediatrics had 10 Explanation of Benefits (EOB)/Remittance Advices (RA) returned back to the organization, with details of the status of claims including suspended claims, denials, and rejections for various patients and physicians. Discuss some steps the reimbursement manager and insurance specialist can take to record the completed transactions and address the suspended claims, denials, and rejections. Also discuss the significance of the 10 returned claims, out of 200 claims submitted for the month.

Reference no: EM134032774

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