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#37 - Explanations of Review for Workers' Comp

Recorded on 10/08/2015
40 minutes

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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