non covered charges - [denial management] in medical billing

Hie friends, Im making a series of videos explaining denial in US HEALTHCARE medical claims. I'm spending lot of time behind it to make is more animated and understand denials much easily.
This video is about non covered charges.
#noncoveredcharges
#denialmanagement
#hcfa

[@praveentendulkar9625]

Thank you brother short and impact ful

[@abhinashsharma4011]

Love your video, it give me the whole idea of denial management and handling

[@beckysanders6579]

these are wonderful videos thank you!

[@akberkhan1866]

Thank you bro !

[@NainaRawat]

Please make call demo

[@evanieespinosa9399]

What kind of an appeal do we send it as ? Underpayment or medical necessity ?

[@5minutesvideos953]

I did if we have co 96 means to call to know pat or provider plan but PR96 I transferred the balance to secondary if present otherwise to patient. Correct ?

[@dminmb]

Yes, if pr96 stating services are not covered as per patient policy

[@sunilrohra5097]

Brother if services are not covered under patient benefits plan we will directly bill to patient we will not raise appeal.

[@akberkhan1866]

Hi bro i have one question. If the patient plan is in florida and service is rendered in tenesee then where should we send claim to ?. Thank you. And waiting for your new videos

[@dminmb]

it depends on insurance. If it is bcbs we will send claim to local bcbs where services rendered that is Tennessee.

[@akberkhan1866]

Bro one question if the claim denied as non covered service for medicare and medicaid claim then what will we do ?

[@dminmb]

for medicare, same we need to check as per patient or provider. for medicaid, even if it is as per patient plan we cannot bill patient. because medicaid is for low income people. we need to adjust the balance.

[@akberkhan1866]

@@dminmb thanks

[@bejjenkipallavi8256]

Can you help me with 252 denial?

[@akberkhan1866]

Hi bro
What is the difference between single cheque and bulk cheque. Single amount and bulk amount
Thank you

[@dminmb]

when payor receive multiple claims from same provider. they'll process claims in groups and pay them with single cheque, it is called bulk check, this bunch of claims will have bulk paid amount and each claim paid amount in EOB(explaination of benefits). single check - when payor process the claim and pay each claim with one check, it is called single check.

[@praveenshashi9143]

@@dminmb I appreciate your patience bro thank you so much for helping us

[@dminmb]

@@praveenshashi9143 You are welcome bro. your feedbacks encourages me. Thank you

[@Rohit-or5qg]

Can you give pdf