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General Surgery Coding Alert

Reader Questions:

File New Claim if ‘Unprocessable’

Published on Thu Oct 15, 2020

Question: We received an “unprocessable” claim from our MAC. Can we appeal this? Ohio Subscriber Answer: No, you can’t appeal an unprocessable claim because, technically, it was never filed. Another term for” unprocessable” is “rejected.” Rejected claims never enter the adjudication process as denials do. If a claim is deemed unprocessable, the reopening unit won’t be able to handle it. [...]
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