When a medical professional renders his
service for treating patients, he expects
reimbursement of the fees payable to him
for rendering such services. When the
insurer denies the claim, the professional
does not receive the amount and requires
claims adjustment. Slight error in claim
filing may result in claim rejection. Hence
proper knowledge and expertise is
necessary for filing medical claims and
proper follow up with the insurers is
necessary for claim re-adjudication in
case of claim rejection.
