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Task: Denial Received - IBR

When a $0 reimbursement is posted to an Independent Bill Review submission DaisyBill automatically moves the Bill to Processed status, generates a Denial Received - IBR task and assigns the task to a designated DaisyBiller.

Step 1. For each Procedure Code compare the ‘Expected Fee Schedule’ amount to the ‘Bill Payment Total’

Expected Fee Schedule: DaisyBill calculation of state fee schedule (for supported states), or, Organization's set Expected Reimbursement.

Bill Payment Total: Total of all payments posted to all submissions of the bill.

Expected Fee Schedule %: Bill Payment Total divided by Expected Fee Schedule.

Balance Due: Expected Fee Schedule less Bill Payment Total.

Step 2. To close the bill, Click ‘Close’

This moves the Bill to Closed status and completes the task.


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