AboutLinda Woolsteen Expertise I can help you with questions about health insurance. If you feel your insurance company is mistreating you. Are they telling you they are checking eligibity, pre-existing, etc. Or you just don`t understand how your insurance works or don`t understand what a PPO is.. I can help you.
Experience
Past/Present clients One company I worked for I was the underwriter for the Academy of Medicine of Cleveland and the Ohio Bar Association. I was also a supervisor of our customer service department.
Can you tell me if there is standardization in health insurance claim codes. For instance, my claim denial has a claim code of 28. I am located in Ohio. Does coding vary from state to state or health plan to health plan. Thank you kindly for your reply.
Dave Wolf
Answer Hi, no there is no standardization for denial codes used by insurance companies.
Your explanation of benefit form should give you a reason next to the EOB MSG code for the denial.
Some of the codes can even be pretty silly if you ask me. For example, the company I work for has our Ohio claims processed by another insurance company and our company cannot even use the denial codes that the other company processing our Ohio claims uses.. therefore, we have to use generic messages that really don't tell you a whole lot.
If I can be of any further help, just let me know.
