What Is Claims Adjudication? (Full Process Explained)
This guide explains what claims adjudication is, how insurers process medical claims, and why adjudication affects reimbursement and cash flow.
This guide explains what claims adjudication is, how insurers process medical claims, and why adjudication affects reimbursement and cash flow.
Discover how to find the best medical bill review companies for your healthcare practice. Learn what features matter, what red flags to avoid, and how to improve your revenue cycle with expert support.
Understand the correct use of POS 23 in medical billing for emergency department claims. Learn how to avoid denials, CO 45 reductions, and optimize reimbursement through accurate coding.
Understand the CO-45 denial code, why it happens, and how to fix it. This guide will help reduce rework, improve cash flow, and prevent future CO-45 adjustments in your medical billing.
Understand when AOB in medical billing can protect your revenue and when it can create issues. Learn how to optimize out-of-network claims and avoid costly mistakes with expert support.
Assignment of Benefits may seem simple, but hidden payer rules make AOB one of the biggest compliance risks in medical billing. This guide explains what AOB really means, why payers scrutinize it, and how small documentation mistakes can trigger denials, delayed payments, and recoupments.