What do I do when a claim is rejected or only partially paid by Medicare?

Follow these steps to find out why your claim has been rejected or only partially paid by Medicare:

1. Open the Medicare Claiming dashboard
2. Click Accounts at the top of the page
3. Click Claiming
   
   
4. Make sure you are in the "In Progress" module 
5. Look for the rejected claims
6. Click the Tick-box next the claim that been rejected or partially paid
7. Click View Services
   
   
8. Refer to the Status to locate which services are Unpaid
9. Look at the Description to find out the reason it was rejected
   
10. Take appropriate action based on the reason the claim was rejected
11. Resubmit the claim to Medicare 
    

Providing you have taken appropriate action, your claim should now be processed by Medicare.

Example of Medicare rejections reasons -

• The current claim has already been processed (submitted or accepted). Get details then clear the claim
• The claim type is not valid
• A claim or request already exists. Another claim or request cannot be created until the current claim or request is cancelled or completed.