Brace Health resources
Practical guidance authored by the people who work on billing and practice operations every day.
5 resources
A paid claim may warrant underpayment review when the remittance is lower than the amount expected under the applicable contract and claim facts. Verify the benchmark, explain the variance, and then decide whether to correct, appeal, contact the payer, or close the review.
Updated
A claim rejection generally means the claim was not accepted for adjudication. A denial reflects a payer's decision not to pay all or part of an adjudicated claim. Check the actual response before deciding whether to correct, submit again, or appeal.
Updated
To investigate a physical therapy claim denial, start with the payer's actual response, compare it with the submitted claim and supporting records, and choose the next action under the applicable instructions. A denial code is a starting point—not a complete root-cause diagnosis.
Updated
Prioritize denied therapy claims by the risk of missing a deadline, their current status, and the action available—not balance or age alone. Keep the rest of accounts receivable visible so urgent denial work does not leave other claims without an owner.
Updated
Choose the next step for a therapy claim from its actual status, payer response, and submission history. Correct inaccurate data, follow the required submission route, challenge a decision through the appropriate review process, or seek clarification when the evidence is incomplete.
Updated
