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2026-11-13 06:17:36 - Translate -

Paid but Not Paid Enough: Identifying Insurance Underpayments

A practice manager reviewing month-end numbers notices that a common office visit code is paying a few dollars less from one commercial plan than it did last year. Nothing on the remittance looks unusual, and the claims show as paid. Only after pulling the contract does she realize the plan has been paying below the agreed rate for months. Underpayments rarely announce themselves. Claims post...

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