Knowing the difference between a rejection and denial can save you time and confusion when contacting the payer and Checkpoint. Below are some key differences.
Rejection |
Denial |
|
| Claim was accepted by payer? | No | Yes |
| Will the claims department have the claim on file? | No | Yes |
| Where do the rejection or denial reasons in CP come from? | Payer | Payer |
| Which payer department do I contact with questions? | EDI Department | Claims Department |
| Where are the claims located in CP? | Billing menu-> Billing-> Claim Rejections | Billing menu-> Billing-> ERA Batch Files |
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