Explanations of Review for Workers' Comp

sarah moray-9ad0df3b
October 08, 2015 40 min
Hosted By: Sarah Moray
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While explanations of review (EORs) are normally an overlooked component of billing and claims processing, EORs are critical if a claims administrator contests or denies a bill or considers a bill incomplete. EORs include essential information such as reasons for denial and how providers can fix any bill errors. EORs are also mandatory before providers can move forward with Second Bill Reviews.

Explanations of Review (EORs) are critical if a claims administrator contests or denies a bill or considers a bill incomplete.

  • EORs have essential information such as reasons for denial.
  • EORs must tell providers how to fix any bill errors.
  • EORs are mandatory before providers can move forward with Second Bill Reviews.
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Worker’s Compensation billing is disturbingly convoluted. We take pride in reviewing the laws, rules, and policies and, to the best of our ability, explaining what we’ve read in plain English.

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