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Checklist for Rejected Bills

Last update
August 2, 2019

A Bill in “Rejected” status was returned by the claims administrator. Rejected bills occur when the claims administrator is unable to match the bill to a claim on file. This is usually due to errors in the Patient Demographics or Injury Information fields but can also occur if the claim is closed or sent to the wrong claims administrator.

To fix this and complete the Rejected Bill task, call the claims administrator to verify the following information:

Patient Demographics

Injury Information

Once you have the correct information, update your Patient and/or Injury page in DaisyBill.

Add a note on the Bill History page that includes this information, and identifies the claims administrator representative with whom you spoke.

If the submitted claim information DOES match the Patient Demographic and Injury Information on file with the claims administrator, report this using the Report Error feature. This will alert our Compliance Team to follow up.

For more information on billing please review DaisyBill’s articles on California e-billing and on the Disputed Payment Appeal Process.

DaisyBill Solution

Thousands of workers’ comp professionals use DaisyBill’s Revenue Cycle Management software to compliantly process electronic bills. To learn more, schedule a no-pressure demo with one of our billing experts.

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