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Difference between Rejection and Denial


In general if you look at both gives same meaning, Rejection is a general term used for claim rejected from clearing house as well as denied from insurance but as a medical billing person we should be more specific when we use the word “rejection” or “denial”.

Rejection:
The term rejection we need to use when claim got rejected from clearing house, sometimes Practice Management its self will have some edit check, in such case also we can use rejection,
Rejection can be classified in to two types
·         Clearing house
·         Insurance

Denials:
Denials, we need to use when insurance deny the claim.

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