Examples of Payment Dispute in a sentence
For a Payment Dispute Notice to be valid, it must specify in detail the extent to which and the reasons why Client disputes the invoice.
Should a provider have a concern that does not fall in any of the categories above (i.e. the score on your final report does not reflect what was in the Preliminary Report), a Payment Dispute Form must be requested and completed within 60 days of receiving the final statement.
Most questions regarding Claim payments can be resolved quickly over the phone, but Providers always may submit a written Payment Dispute with the appropriate medical records to support medical necessity for treatment or to support the Claim.
Provider Payment Disputes and Provider Administrative Pleas are different processes:• Provider Payment Dispute: The claim has been finalized but you disagree with the amount that you were paid;• Provider Administrative Plea: The claim has been finalized, but you disagree with the administrative denial that has been applied.
The Contract Manager serves as Chair of the Payment Dispute Resolution Committee.