Types of Denials in Medical Billing

In medical billing, denials occur when insurance companies reject claims or reduce payments. Denials can be categorized into payer and provider denials. Payer denials include eligibility denials, authorization denials, and coverage denials, often due to issues with patient eligibility or missing pre-authorization. Provider denials are caused by billing or coding errors, incomplete documentation, or late claim submissions. To mitigate denials, healthcare providers should verify insurance eligibility, train staff regularly, perform audits, and consider working with professional billing services. Understanding and addressing these common denial types can improve the billing process and reduce revenue loss. For more information, visit Enfinity Medical Billing.