New Claims System Update

Provider Manual
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14 CLAIM SUBMISSION AND ADJUDICATION PROCEDURES

14.11 Claims Inquiry

A question about a claim or claim payment is called an Inquiry. Inquiries do not result in changes to claim payments, but outcome of the claim inquiry may result in the initiation of the claim payment dispute. in other words, once you get the answer to your claim inquiry, you may opt to begin the claim payment dispute process.

The IntegraNet Health claims department is available to assist you in determining the appropriate process to follow for resolving your claim issue at 541-464-6296.