Reader Questions:
File Claims With Care
Published on Tue Jan 05, 2021
Question: If we received an “unprocessable” claim from our MAC, can we appeal this? North Carolina 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 [...]