Please pardon me if
my thought process is to simplistic, but here is my view on EDI claim
rejections:
EDI is an attempt to
automate and streamline a paper based process. In a paper based
system, if a provider mails 1000 billing forms (claims) to a
payer, the payer is only going to return correspondence on the forms that
have problems. The payer is not going to return all 1000 paper forms
(claims) because one of them is incorrect.
I see EDI the same
way, why return all 1000 claims because one of them is bad? As
a patient, I would hate to know that my claim has not been
processed because someone else's claim was coded
wrong.... From the payer's point of view, I would hate
to go to court and explain to a judge that a claim was not
processed in a reasonable amount of time because another claim in
the batch was bad....
Anyway, that's my two cents, for what
is worth...
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