Billing > Billing

Cancelling a submitted claim???

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dfranklin:
How do you go about notifying the insurance company that a claim that was submitted needs to be cancelled.  Apparently my provider had sent me a superbill with the wrong date. They don't know what date it should be but the know the date submitted the patient was not seen. So they want me to notify the insruance company. (Insurance keeps sending letters asking for officenotes for this DOS).  So how do I notify them?

Thanks!

Pay_My_Claims:
I wouldn't notify them to cancel the claim, but you will need to do a claim correction. You need to notify the provider that he will need to contact the ins company saying there was an error on the claim the DOS was incorrect. document this so that you can have it for your records.

dfranklin:
The problem is another claim was submitted already for the correct date as they gave a second superbill to us before telling us about the mistake so we can't do a "correction" claim and change the date.  What should we do?

Nmanju:
You can call insurance company and tell them that the initial claim for the patient we submitted was with an incorrect date of service and we have resubmitted the claim with correct date of service and request them to consider the second claim and send for review. They will definitely process the claims.  i have came across such claims many a times.
 

Michele:
The part that concerns me is "They don't know what date it should be but the know the date submitted the patient was not seen." 

How can the provider not be able to figure out what the correct date was?  This is really key in how to handle this.  If the patient wasn't seen at all, you would notify them that the patient was billed in error.  But if it's an incorrect date, then you would notify them of that.  Two different scenarios that you can't decide which is correct without knowing. 

Michele

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