Tag: Insurance Eligibility Verification

N30 Denial code

N30 Denial Code: How Missing or Invalid Patient ID Causes Claim Denials

N30 is a common claim denial remark code indicating that the patient identification information submitted on a healthcare claim is missing, incomplete, or invalid. This includes errors related to member IDs, subscriber numbers, Medicare Beneficiary Identifiers (MBIs), Medicaid IDs, or dependent suffixes. Although N30 denials are administrative in nature, they can significantly disrupt the revenue […]
Hospital Claim Validation

Hospital Claim Validation: A Proactive Strategy to Prevent Denials

Claim denials cast a long shadow over hospital finances, eroding revenue cycles, inflating administrative burdens, and ultimately jeopardizing the institution’s financial stability. While some denials are unavoidable, a powerful and forward-thinking Hospital Claim Validation strategy can dramatically reduce their frequency.  This approach emphasizes embedding accuracy and compliance at every touchpoint of the patient journey and […]
Automated Insurance Eligibility Checks: Improving AR Days

Automated Insurance Eligibility Checks: Improving AR Days

Table of Contents Understanding the Impact of Denials and AR Days The Role of Automated Insurance Eligibility Checks Benefits of Automated Insurance Eligibility Checks Implementing Automated Insurance Eligibility Checks Insurance Eligibility Verification Service: A Critical Step for Healthcare Practices One significant challenge that healthcare providers face is the high rate of insurance claim denials and […]
Medical Coding Strategies to Prevent Payer Denials

Medical Coding Strategies to Prevent Payer Denials

As a former emergency department physician from the U.K., this individual was well aware of claim denials and rejections, with payers frequently withholding or reducing payments. However, it was only when his personal insurance company, denied his medical claim for a vitamin D test that he decided to delve deeper into the issue. He found […]