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.
n. a retaliatory claim by a defendant against a plaintiff in a lawsuit included in the defendant's answer and intending to off-set and/or reduce the amount of the plaintiff's original claim against the defendant. claim by a defendant opposing the claim of the plaintiff and seeking some relief from the plaintiff for the defendant. A counterclaim contains assertions that the defendant could have made by starting a lawsuit if the plaintiff had not already begun the action.