My billing subcontractor has mentioned this as well but in practice it hasn’t worked extremely for us. Sometimes we resubmit and it gets paid, sometimes not. Th

My billing subcontractor has mentioned this as well but in practice it hasn’t worked extremely for us. Sometimes we resubmit and it gets paid, sometimes not. That’s where I often have to get the patient to directly appeal to their insurer. But I’m not sure if the subcontractor is necessarily following necessary procedures. That’s a whole different issue though; I’ve had to change subcontractors twice in my career because after auditing I found they were dropping the ball on stuff like this and just billing clients when there was a path to insurance reimbursement that could be pursued. To insurance companies credit this is an issue at least a part of the time; billing departments and subcontractors that flake on their own work. Far less common but a non zero part of the issue. Thankfully as things transfer to software solutions this becomes less of an issue; I’ve moved a portion of my billing to a software based billing solution rather than a human one and while it still has issues it has less. Sucks for job creation but better for my patients I guess Now I might do another deep billing audit