Many rejections start with missing dates, name mismatches, or partial PDFs. This guide is a prevention checklist for paperwork — it does not address medical necessity disputes.
Before you hit submit
- Patient name spelling matches the policy card exactly (including middle initials).
- Each bill page is legible and shows facility GST or registration where your insurer expects it.
- Pre-authorisation emails or SMS references are pasted into the cover note or filename.
After a rejection letter
- Re-read the reason code; insurers often list one primary gap and several optional adds.
- Respond in the channel they specify (portal ticket vs email) and keep a dated copy of every upload.
- Escalate timelines from your policy wording; this article does not interpret contract clauses.