Billing Operations
A Payer Says a Claim Is Held for Provider Enrollment: What to Verify
When a payer says a claim is held for provider enrollment, verify the payer’s exact reason, the provider and service location, and the enrollment effective date for the date of service. Do not assume it is a clearinghouse enrollment issue or change and resubmit the claim until the payer clarifies what action it requires.
- Provider enrollment
- Claim follow-up
- Billing operations
Updated