Denial Management Specialist

TexMed Revenue’s highly experienced team of billing professionals are quick, analytical problem solvers of rejected or denied claims.  We take the necessary steps to find the exact issue causing the denial/rejection, correct the claim, and follow the necessary steps for resubmission or appeal as mandated by the particular payer.  We will coordinate with the practice and/or patient if additional information is needed.

Common reasons for claim rejection or denial:

– Deficiencies in demographic information provided by the patient
– Lapse in insurance coverage or new insurance information not provided to the practice
– Coordination-of-Benefits (COB) issues
– Authorization for treatment issues