Payments > Insurance Payments

Incorrect DOS on claim

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jcbilling:
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

Michele:
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

MNelson:
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. 

jcbilling:
OK -  I will try that.

Thanks,
Charity

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