Will we have the ability to review claims in question to determine next steps?

Posted by Smart Data Solutions on January 13th, 2020
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Smart Data Solutions

Yes, claims will run through rejection screening where we will check for a complete claim, business rules applied, format validation, etc. If there are any errors found, SDS will review to ensure there are no data capture errors. If there were no capture errors, the claim will go to a client review queue where the client can input the needed information and get the claim back into the workflow, or, can reject the claim back to the provider.

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