EOP / Denials
Total EOPs Processed
3,842
Total Denied
312
Denial Rate
8.1%
Total Denial Amount
$78,400
Top Denial Reason
Auth Required (28%)
Denial Breakdown by Reason
| Practice | Claim # | Patient | Payor | CPT | Charge | Paid | Remaining | Code | Reason | Denial Amt |
|---|---|---|---|---|---|---|---|---|---|---|
| LAEC | CLM-30412 | Garcia, R. | EyeMed | 92014 | $325 | $0 | $325 | CO-197 | Auth Required | $325 |
| ECH | CLM-40198 | Kahale, L. | HMSA | 92004 | $250 | $180 | $70 | PR-1 | Patient Deductible | $70 |
| AEC | CLM-10287 | Smith, J. | VSP | V2020 | $185 | $0 | $185 | CO-29 | Timely Filing | $185 |
| SVEP | CLM-50312 | Chang, L. | Aetna | 92014 | $350 | $0 | $350 | CO-197 | Auth Required | $350 |
| VEO | CLM-20445 | Tran, A. | EyeMed | 92004 | $260 | $0 | $260 | CO-16 | Missing Modifier | $260 |
| EKO | CLM-60289 | Davis, R. | Cigna | V2781 | $340 | $0 | $340 | CO-18 | Duplicate Claim | $340 |
| LAEC | CLM-30534 | Reyes, C. | Medicare | 92014 | $320 | $200 | $120 | CO-4 | Coding Mismatch | $120 |
| AEC | CLM-10345 | Wilson, E. | EyeMed | V2020 | $185 | $0 | $185 | CO-197 | Auth Required | $185 |
| ECH | CLM-40312 | Santos, M. | HMSA | 92004 | $255 | $0 | $255 | CO-29 | Timely Filing | $255 |
| VEO | CLM-20567 | Park, J. | United | V2783 | $420 | $280 | $140 | CO-27 | Patient Ineligible | $140 |
| SVEP | CLM-50489 | Gupta, P. | VSP | 92004 | $250 | $0 | $250 | CO-16 | Missing Modifier | $250 |
| EKO | CLM-60345 | Martinez, A. | EyeMed | 92004 | $245 | $0 | $245 | CO-4 | Coding Mismatch | $245 |
| LAEC | CLM-30612 | Brooks, A. | United | 92014 | $350 | $0 | $350 | CO-197 | Auth Required | $350 |
| AEC | CLM-10412 | Taylor, S. | Cigna | V2020 | $195 | $0 | $195 | CO-29 | Timely Filing | $195 |
| ECH | CLM-40389 | Kim, D. | VSP | V2781 | $290 | $150 | $140 | CO-27 | Patient Ineligible | $140 |