What do I do if I get a Denied claim?

A Denied status indicates that the payer processed the claim, but denied payment. This could be due to the way the claim was coded or because it is not a reimbursable claim based on your contract with the insurance company or the client's plan.

You can check the reason the payer shared with us for denying the claim by looking at the payment report. Place your mouse cursor over the "?" in the payment report to see the reasons (shown below). 

Important: If the rejection reason isn't helpful or you think it's a mistake, contact the payer directly. At this stage only the payer can give you additional information. The payer will not give our support team any more information at this stage.


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