What should an NP do if she/he has a number, is billing properly, but is not getting paid?
It is common for payors to reject claims from all types of providers for various reasons, including incomplete claims, inaccurate information, non-covered services, and other errors. Therefore, the NP must get involved by calling the third party payor directly and resolving the issue. Direct involvement will help the NP develop a better understanding of the reimbursement process and covered benefits.