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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Resubmitting Claims

Hi,

First of thank you for reading my question. I am new to billing.

Scenario 1- We billed 4 procedure line out of which only three got paid. My questions are,

1) When i resubmitting the claims to insurance should I submit all 4 lines again or just one which didn’t get paid?
2) How would I resubmit above claim?

Scenario 2- When claim come back with the patient has Deductible and Co-insurance, I am aware that Co- insurance has to be send it to Secondary insurance. My questions are,

1) When it comes to Deductible, Should I transfer that to Patient Liability?
2) Should I bill Total Amount (Co-Insurance and Deductibles) to secondary insurance.

Please advise.

Jinit

Medical Billing and Coding Forum