Medical Billing Forum

Billing => Billing => : jberubedo January 13, 2016, 10:23:05 PM

: Denied Claim
: jberubedo January 13, 2016, 10:23:05 PM

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!

: Re: Denied Claim
: PMRNC January 15, 2016, 12:31:56 AM

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?

: Re: Denied Claim
: rdmoore2003 January 15, 2016, 06:03:53 PM

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.

: Re: Denied Claim
: Michele January 19, 2016, 01:38:19 PM

: jberubedo  January 13, 2016, 10:23:05 PM

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.