How you resend an insurance claim is dependent on whether it was rejected or denied. There are two fundamentally different methods:
- Resubmission (when a claim has been rejected)
- Corrected Claim (when a claim has been denied)
For information, please see: Rejection versus Denial.
Resubmitting a claim
When you resubmit a claim, you are creating a new claim and sending it to the payer. The payer receives the claim and treats it as a new claim. To resubmit a claim, it needs to be placed back into the Bill Insurance area. This can be done by selecting Resubmit or Send to insurance invoice area as the session action when posting a payment.
If you try to resubmit a claim that was previously denied, you can receive a claim rejection for a duplicate claim.
Filing a Corrected Claim
A corrected claim tells the payer that you have sent the claim to them before, but that you would like it to be re-adjudicated. This can mean that you are sending them information that was not provided previously or that you think they processed the original claim incorrectly. For more information, please see: Filing a Corrected Claim.