Notes

#Claim not on file =
what is effective and termination date , Is there any active policy
What is TFL given by insurance to submit claim
Claim address , Payer ID , Ask they are primary payer . { Ref no# }

#Paid Claim
Process date
Allowed amt. , paid amt. , And ask is there any patient responsibility , and of which kind responsibility
Payment mode and ask issued date and cleared/cashed date and ask it is single or bulk ? , Payment address . { Claim no# and Ref no# }

#Untimely filing
Denial date and reason . And ask the received date of the claim
What is TFL ? TFL for appeal and appeal address . { Claim no# and Ref no# }

#Medical records required
Denial date and reason ?
What kind of medical records required ? TFL to submit the records and the address or fax# , { Claim no# and Ref no# }

#Claim in process
Received date , and how much time it will take to complete the processing . { Claim no# and Ref no# }

#Policy termed
Received date and the denial date ? , Policy termed date ? Is there any active policy . { Claim no# and Ref no# }

#Inclusive / Bundled
Denial date and the reason ? With which service/CPT our service is bundled ?
What is CC [Corrected Claim] address and TFL ? { Claim no# and Ref no# }

#Non - covered
Denial date and reason ? Why is is not covered ? Isit non covered under patient plan or in providor's contract