Medical Billing Forum

Payments => Insurance Payments => Topic started by: jcbilling on February 08, 2010, 07:40:20 PM

Title: Incorrect DOS on claim
Post by: jcbilling on February 08, 2010, 07:40:20 PM
We billed a claim with the wrong DOS on the claim form because of a clerical error. It should have been 01/11/2010, instead it was 01/07/2010.

We received payment for the wrong DOS - what is the correct way to fix it?

I'm thinking we refund the insurance company for the amount that was issued and then resubmit the claim with the correct DOS on it.

Is there a simpler way to do it? Is there anything I'm missing?

Thanks,
Charity
Title: Re: Incorrect DOS on claim
Post by: Michele on February 09, 2010, 07:23:06 AM
I wouldn't refund the money.  I would send a letter or adjustment form, with a corrected claim attached, explaining the clerical error.  Payment will most likely be the same.  They just need to update their system with the correct date.  If they request a refund, then send it.

Michele
Title: Re: Incorrect DOS on claim
Post by: MNelson on February 09, 2010, 10:31:15 AM
Charity is correct!  Do not send a refund!  Call the insurance and ask them how they would like it taken care of, each insurance company is different!  Some will just need a corrected claim and a letter explaining why you are submitting a corrected claim!  Be sure to ref. the claim # in which you are submitting that corrected claim for in your letter. 
Title: Re: Incorrect DOS on claim
Post by: jcbilling on February 10, 2010, 11:21:43 PM
OK -  I will try that.

Thanks,
Charity