Tag: payer rules

CO-97 Denial Code

Understanding CO-97 Denial Code: Common Causes, Impact, and Best Practices

In the complex world of medical billing, claim denials are one of the biggest challenges healthcare providers face. Among them, CO-97 denial code is one of the most frequent and confusing denials providers encounter. A denied claim not only disrupts cash flow but also leads to additional administrative costs and potential compliance risks. To minimize […]
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Prior Authorization Automation

Unlock Revenue Growth and Slash Denials with Prior Authorization Automation

In the intricate dance of healthcare administration, prior authorization often feels like an unwelcome and time-consuming interruption. The manual processes involved – phone calls, faxes, and endless paperwork – not only burden staff but also create significant bottlenecks that can lead to delayed patient care, increased operational costs, and, critically, a higher rate of claim […]
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