Glossary

Claim denial

The part of a claim a payer refuses to pay.

In CHIRON

CHIRON does not send or track claims: your billing service does. It keeps what an appeal needs in the chart: notes, documents and who signed them.

What is Claim denial?

A denial is a payer's refusal to pay a claim, in whole or in part. It comes back on the remittance, with a reason code.

A denial not appealed in time becomes a loss, and the appeal window runs from the remittance date.

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