#denialmanagement
#medicalbilling
#dminmb
DENIAL REASON - DUPLICATE.
DENIAL CODE - 18.
If same claim filed twice or more for same date of service, then intial claim will be processed and other claims will be denied as duplicate.
If claim filed twice then we need to follow up on initial claim. Need to check claim status of initial claim through insurance representative or through web portal.
If claim filed once and denied as duplicate, then contact insurance representative and request for reprocess of the claim as claim filed only once.
If two services are rendered on same date of service and claim not filed with appropriate modifier. Then claim may deny as duplicate.
In this case, we need to append appropriate modifier and submit corrected claim.
Additional points:
If patient demographic changes made on claim, we need to submit fresh claim.
If any coding corrections made on claim, need to submit corrected claim with resubmission code 7 and original claim number on corrected claim.
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