What is the best way to prevent delinquent claims?

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Verifying health plan identification information on all patients is crucial in preventing delinquent claims. This process ensures that the correct payer is billed for the services rendered. By confirming the patient’s insurance details at the time of service or before the claim is submitted, billing practitioners can avoid various common issues, such as submitting claims to the wrong insurance provider or using outdated policy information, which often leads to claim denials or delays in payment.

This proactive approach not only facilitates smoother interactions with insurance companies but also enhances the practice's cash flow. When verification is thorough and accurate, it minimizes the likelihood of claims being rejected or going unpaid due to incorrect information, thus reducing the chances of claims becoming delinquent.

Submitting closed claims to all third-party payers or entering claims data into a suspense file doesn't directly address the need for accurate upfront information and may not prevent potential issues that could lead to claims becoming delinquent. Attaching supporting medical documentation is essential for substantiating claims but is more about ensuring that claims get paid rather than preventing them from becoming delayed in the first place.

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