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Introduction

Working with insurance companies is rarely simple, and when it comes to payer reviews, you may only have one chance to get things right. With payers scrutinizing claims more than ever before, urgent cares are worried about what that means for their bottom line and what they need to do to prevent rejections and denials.

This guide explains three different payer reviews — pre-payment, post-payment, and probe — along with steps to take in each situation. While there is an ascending level of concern associated with these, you should always take payer reviews seriously and address them promptly.