What are void claims, types of Medicare, types of denials, OI types.

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Accepted Answer

Void Claims: Claims that are canceled or nullified after submission due to errors, incorrect patient information, duplicate submissions, or compliance issues.

Types of Medicare:

Part A: Hospital insurance (inpatient care, hospice, etc.).
Part B: Medical insurance (doctor visits, outpatient care, preventive services).
Part C (Medicare Advantage): Alternative plans offered by private companies, covering Parts A and B, often including additional benefits.
Part D: Prescription drug coverage.
Types of Denials:

Technical Denials: Errors in submission, missing/incorrect information.
Clinical Denials: Lack of medical necessity, failure to meet criteria.
Administrative Denials: Authorization issues, eligibility problems, coverage limits.
Duplicate Denials: Claim already processed.
Other Insurance (OI) Types:

Primary: Insurance billed first.
Secondary: Insurance billed after the primary processes the claim.
Tertiary: Insurance billed after both primary and secondary insurances.

What are void claims, types of Medicare, types of denials, OI types.

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