Top 10 Reasons for Medical Claim Denials (And How to Fix Them Fast)
Most medical claim denials come from ten preventable causes: incorrect patient information, coding errors, lack of medical necessity, duplicate submissions, missed filing deadlines, missing authorizations, incomplete documentation, coverage issues, coordination-of-benefits errors, and data entry mistakes. Industry benchmarks consistently show that roughly one in ten claims is denied on first submission, and the majority of those…