A payer's automated claim edits may result in claim denial because of

Name: A payer's automated claim edits may result in claim denial because of
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Automated claim edits can result in denial for various reasons, including lack of eligibility for a reported service, lack of required preauthorization, and lack of medical necessity. These systems check for compliance with the payer's policies and procedures, and any discrepancies can lead to a claim being denied.

A Payer's Automated Claim Edits May Result in Claim Denial