Category: Clearinghouse

42% of Post-hoc Denials Come from Aetna: The Top Reasons Revealed

If you bill Aetna for spine, joint, or orthopedic procedures, you have likely seen this before. The surgery happens. The claim goes out. Weeks later, a denial letter arrives

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Clearinghouse Rejection Codes Explained: How to Fix Claim Errors

A claim that bounces back with a clearinghouse rejection code hasn’t been reviewed by an insurance company at all. It never got that far. For billers who are new

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