A payer denies a professional claim for timely filing. What should the revenue-cycle team evaluate before writing the balance off?
Select an answer to reveal the explanation.
Short Explanation
Timely-filing denials deserve a paper trail check first. If you can prove the claim went out on time—or a real exception applies—appeal with that proof. If the deadline truly slipped, own the write-off instead of inventing a new account number or parking it on the patient.
Full Explanation
Timely filing denials require determining whether the original claim met the payer’s filing limit or whether proof of timely filing (or an allowed exception) supports reconsideration. If evidence shows timely submission, appeal with documentation; if the limit was missed, apply practice write-off policy rather than deceptive rebilling tactics or inappropriate patient billing for a provider filing failure.