One of the responsibilities of the National Government Services Provider Outreach and Education team is to offer education on the high-volume claim submission errors that result in return to provider, rejected, and in some instances, denied claims. To reduce the claim submission error rate—and to support our goal of having claims submitted correctly the first time—this section of the site includes the top claim submission errors and helpful hints to resolve these errors on a monthly basis.
You should make it a goal to reduce the number of claim submission errors by taking extra time to review your claims before submission to ensure that all required information is included on each claim.
Return to Provider
2008 Top Return to Provider Errors and Resolutions 2007 Top Return to Provider Errors and Resolutions
Rejection
2008 Top Rejection Errors and Resolutions 2007 Top Rejection Errors and Resolutions
Denial
2008 Top Denial Errors and Resolutions 2007 Top Denial Errors and Resolutions