Claims must include the ordering/referring practitioner NPI on the CMS 1500, UB-04, or equivalent. claim form. Claims missing this information are considered unclean claims and may result in claim. rejections or denials. Rejected claims are unclean and must be received within 95 days from date of.
A plaintiff is the person who initiates a court action by filing a complaint with the clerk of the court against the defendant(s) demanding damages, performance and/or court determination of rights.
A lawsuit requires two opposing parties, a plaintiff and a defendant. The plaintiff is the complaining party, and the defendant is the party who attempts to protect himself from allegations. In most legal systems, the plaintiff bears the burden of proof.