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.
plaintiff's attorney. n. the attorney who represents a plaintiff (the suing party) in a lawsuit. In lawyer parlance a plaintiff's attorney refers to a lawyer who regularly represents persons who are suing for damages, while a lawyer who is regularly chosen by an insurance company to represent its insureds is called a defense attorney. (See: plaintiff, defense attorney)