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What is the top reason for delays in processing claims?

April 26, 2017delays

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What is the top reason for delays in processing claims?

1 Answer

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Claims received without the CMFHP provider number or NPI, or an incorrect CMFHP provider number or NPI, must be researched manually. Claims received without a CMFHP provider number or NPI will be returned to the provider. Claims with incorrect CMFHP provider number or NPI may cause an incorrect payment. This is the biggest delay in processing a provider’s claim.