Medical Billing Forum
Billing => Billing => : jberubedo January 13, 2016, 10:23:05 PM
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I have a question. The claim that I sent to the insurance for my services as a mental health therapist were denied because it said "claim total denied charge amount". I think that means that I was charging too much for the service. How do I know how much to change for my services?
Thanks!
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The claim that I sent to the insurance for my services as a mental health therapist were denied because it said "claim total denied charge amount". I think that means that I was charging too much for the service. How do I know how much to change for my services?
What did you bill?
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Are you participating with the insurance? A provider can charge any amount they set for services, but that in no way means they will get that amount. If you are participating, you have a fee schedule with that insurance company. If you are not in network, it will be based on U&C charges.
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I have a question. The claim that I sent to the insurance for my services as a mental health therapist were denied because it said "claim total denied charge amount". I think that means that I was charging too much for the service. How do I know how much to change for my services?
Thanks!
You need to contact them and have them explain the denial. They wouldn't deny if you charge over the U&C, they would just cut the fee back to their allowable. Sounds like the denial isn't really accurate or you need a better explanation.