| Claim denied for Capitation | ||
| 1 | May I know when the claim was processed | |
| 2 | May I know the capitation period( contract effective and termination date) | |
| 3 | May I know the allowed amount | |
| 4 | Is there any Patient responsibility | |
| 5 | May I know whether this procedure is covered under Capitation or FFS | |
| If FFS | If Capitation | |
| Could you please send the claim back for reprocess | ||
| 6 | May I know the claim# | |
| 7 | May I know the call ref# |
