----- Original Message ----- From: Fody, Kenneth W. <[EMAIL PROTECTED]> > Today, we do accept claims for non-covered services and, assuming the > information we need to determine whether the benefit is covered or not is > present, we process those claims, and deny them.
But, that means they are 'processed' (or in your language, "adjudicated"), which IMNSHO is all the submitter can ask. Any claim so denied should appear in the next '835' remittance sent to the submitter with the appropriate adjustment code(s). Michael Mattias Tal Systems, Inc. Racine WI [EMAIL PROTECTED] www.talsystems.com www.providerpaymentpartner.com
