The Novomed team assists in filing a “clean” claim with your insurance provider, meaning we ensure that the claim is correctly coded.
We also submit the form in the layout preferred by your insurer, so that it will be processed faster and more accurately.
Claims denied for contract limitations are not the responsibility of Novomed. The claims which are denied in error due to poor insurance company adjudication practices are also not the responsibility of Novomed.
These claims must be appealed by a telephone request for redetermination or by written appeal. Please be sure to file your appeal within the timeframe given by your insurance provider; otherwise, you may lose your right to appeal.
Please be sure to document the following:
The date you called,
The name of the person with whom you spoke,
What was said,
If your employer provides you insurance cover and you find your claims are being denied repeatedly, you should report the problem to your company’s Human Resources Department, so they can intervene on your behalf. Otherwise, you should consider finding a new insurance provider.