Common Denial Reasons and how to avoid them

At Zaya, we’re committed to making sure your hard work translates into timely payments - because nothing is more frustrating than a claim denial messing up your day (and your cash flow). We’re here to help you reduce denials and keep the revenue coming in smoothly. Below, we’ve broken down common denial reasons and how to avoid them.

THE TIME LIMIT FOR FILING HAS EXPIRED

Explanation: This denial message means that the claim was submitted past the payer’s allowed time frame for filing, so they won’t process or pay it. To ensure claims are paid successfully and on time, Zaya requires all claims to be received within 30 days of the date of service (DoS). If you submit a claim to us later than 30 days post DoS, we can’t accept it. 

DUPLICATE CLAIM OR SERVICE

Explanation: This denial means the claim was flagged as a duplicate by the payer, either already processed or currently under review for similar services. To avoid this, double-check that you’re only sending each claim to Zaya once. 

MISSING DOCUMENTATION

Explanation: This denial indicates that required documentation was either missing, incomplete, or not provided on time. Once Zaya receives a claim, we submit it to the payer. If additional information is needed, we’ll reach out to your practice directly to collect it. Providing the requested details to our team quickly ensures the process stays on track.