Make Appointment
logo-a2zmedicallbilling
MAKE APPOINTMENT ➜

Category: Claim Denials

Medicare Advantage Clinical Denials Are Rising
by Admin0 CommentsClaim Denials

Medicare Advantage Plans Are Denying More Claims on Clinical Grounds

Your claim was coded correctly. A physician ordered the service. The patient needed it. And the plan still says no, because a reviewer who never met the patient decided

Read More
Duplicate Charges, Incorrect Coding, and Insufficient Documentation – Cignas Top Denial Reasons
by Admin0 CommentsClaim Denials

Duplicate Charges, Incorrect Coding, and Insufficient Documentation Cigna’s Top Denial Reasons

You did the work. The patient was seen, the note was signed, the claim went out. Then the remittance lands and Cigna pays you nothing. That happens more often

Read More
Medicare Secondary Payer claims
by Admin0 CommentsClaim Denials

Medicare Secondary Payer (MSP) Claims: Why Your Claims Are Being Rejected

You submit a clean claim. Medicare should be the secondary payer, so you build it that way, code it correctly, and send it off. A few days later, it

Read More
Aetnas Modifier Denials Are Increasing Are You Affected
by Admin0 CommentsClaim Denials

Aetna’s Modifier Denials Are Increasing Are You Affected?

If your Aetna remittances have looked worse than usual since the start of the year, you’re not imagining it. A coding edit Aetna rolled out in February 2025 has

Read More
Aetna Denied Your Claim Without Reviewing Medical Records Heres What to Do
by Admin0 CommentsClaim Denials

Aetna Denied Your Claim Without Reviewing Medical Records? Here’s What to Do

If you bill Aetna and you’ve gotten a denial that made no clinical sense, you’re not imagining things. A former Aetna medical director testified under oath that he denied

Read More
UnitedHealthcare’s Unit Denials Are Getting Worse Here’s What’s Happening
by Admin0 CommentsClaim Denials

UnitedHealthcare’s Unit Denials Are Getting Worse Here’s What’s Happening

  You send in a clean claim. Right code, right patient, right provider. Two weeks later the remit lands and one line has been cut with a message like

Read More
The UHC Modifier Trap Why Your Claims Are Being Denied
by Admin0 CommentsClaim Denials

The UHC Modifier Trap: Why Your Claims Are Being Denied

You billed the right service. You added the right modifier. The claim still came back denied. If that sounds familiar, the modifier may not be the problem. Its position

Read More
BCBS Illinois Is Denying Chiropractic Claims Over ICD-10 Issues Are You Affected
by Admin0 CommentsClaim Denials

BCBS Illinois Is Denying Chiropractic Claims Over ICD-10 Issues: Are You Affected?

BCBS Illinois Chiropractic Denials BCBS Illinois Is Denying Chiropractic Claims Over ICD-10 Issues: Are You Affected? You adjusted the patient. You documented the visit. You billed 98940 or 98941

Read More
The #1 trigger for Instant Denials is Missing or Inconsistent Diagnosis-to-Procedure Mapping.
by Admin0 CommentsClaim Denials

The #1 trigger for Instant Denials is Missing or Inconsistent Diagnosis-to-Procedure Mapping.

The #1 trigger for Instant Denials The #1 trigger for Instant Denials is Missing or Inconsistent Diagnosis-to-Procedure Mapping. Meta title: Fix Diagnosis to Procedure Mapping: Stop Instant Denials. Meta

Read More
Duplicate Claim Denials Why Your Resubmissions Are Being Rejected
by Admin0 CommentsClaim Denials

Duplicate Claim Denials: Why Your Resubmissions Are Being Rejected

Duplicate Claim Denials: Why Your Resubmissions Are Being Rejected You fixed the claim. You sent it back. And it came back denied again, this time tagged as a duplicate.

Read More