These codes are also known as ANSI( American National Standard Institutes) Codes ANSI Codes Reason 1 Deductible Amount 2 Co-insurance Amount 3 Co-pay Amount 4 The CPT or procedure is inconsistent with Modifier 5 The CPT or procedure is inconsistent with the Place of Service 6 The CPT or procedure is inconsistent with patientsвЂ™ age 7 The CPT or procedure is inconsistent with patientsвЂ™ gender. Some time claim billed twice or thrice to the insurance company so insurance company may deny the claim due to duplicity.An insurance company may deny a claim stating that services inclusive in another service.An insurance company may deny a claim stating that the procedure performed does not match the diagnosis.Sometimes insurance companies required some additional information or records of the patient.Some insurance companies not provided coverage on some specific medical services.If the claim sent past the limit, it will denied for late filing. All insurance company has filing limit from DOS.This could be due to incorrect policy number, incorrect DOB, patient name, etc. The insurance may not be identified as patient records.The insurance company may deny the claim stating that their coverage is secondary to the patient.The claims will be denied if the patient coverage not effective at the time of Date of service(DOS).Top 10 Denial Reasons and Denial Codes in Medical Billing: They take longer than usual to process the claims. There could be delay due to backlog in insurance companyвЂ™s claims processing department.This is possible due to a bombed transmission or due to an error in the clearinghouse or within the insurance company. The claim may not have reached the insurance companyвЂ™s systems.Denials management is a way to collect more revenue from insurance companies. The following reasons for the delay in the process of claims in medical billing. What are the main reasons for the delay in processing claims? Medical records while filing a claim or missing/incomplete patient details. To posting errors, incorrect procedures, diagnosis codes, lack of information, Denials management is the most important work in medical billing because if any claim is not paid and denied from insurance companies due to any reason, it is medical billing companyвЂ™s responsibility to handle the received denial appropriately and try their best to re-process the claim and receive respective payment.Дo not get paid, come back as denials from insurance carriers.

Timely filing patient responsibility