If the claim is rejected, you must ask your patient to pay you the full amount and submit the claim directly to their insurer. You will need to edit the claim and make it payable to the patient. This will transfer the full balance to the patient.
Claim Payable to Insurer Member, Patient, or Adjudicator Guarantor
When a Claim is payable to the insured member, patient/client, or adjudicator guarantor, the full balance will always be allocated to the patient/client regardless of the EOB. When the invoice is paid by the patient or client, the EOB needs to be updated to Paid.
Also, when a claim is rejected you will not be able to resubmit. You can either contact the insurer directly to find out why it is rejected or have the client submit the claim to the insurer.
If the claim is rejected, you must ask your patient to pay you the full amount and submit the claim directly to their insurer. You will need to edit the claim and make it payable to the patient. This will transfer the full balance to the patient.
Claim Payable to Insurer Member, Patient, or Adjudicator Guarantor
When a Claim is payable to the insured member, patient/client, or adjudicator guarantor, the full balance will always be allocated to the patient/client regardless of the EOB. When the invoice is paid by the patient or client, the EOB needs to be updated to Paid.
Also, when a claim is rejected you will not be able to resubmit. You can either contact the insurer directly to find out why it is rejected or have the client submit the claim to the insurer.
If the claim is rejected, you must ask your patient to pay you the full amount and submit the claim directly to their insurer. You will need to edit the claim and make it payable to the patient. This will transfer the full balance to the patient.
Claim Payable to Insurer Member, Patient, or Adjudicator Guarantor
When a Claim is payable to the insured member, patient/client, or adjudicator guarantor, the full balance will always be allocated to the patient/client regardless of the EOB. When the invoice is paid by the patient or client, the EOB needs to be updated to Paid.
Also, when a claim is rejected you will not be able to resubmit. You can either contact the insurer directly to find out why it is rejected or have the client submit the claim to the insurer.
