Common causes
- Old insurance information on file
- Incorrect member ID or group number provided at check-in
- Primary vs secondary insurance applied in wrong order
- Insurance information not updated after a plan change
How to fix it
- Contact billing department and confirm what insurance they have on file
- Provide correct insurance information
- Ask billing department to resubmit the claim to the correct insurer
- Follow up with your insurer to confirm the claim was received
- Do not pay the inflated balance while correction is being processed
Coordination of benefitsIf you have two insurance plans, the primary pays first, secondary may cover the remainder. If this coordination wasn't applied correctly, both claims may need to be resubmitted.
General information only. Not legal or medical advice.