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Letters of AuditLetters of audit requesting additional information from the insurance company for claim processing, if ignored, can trigger claim denials. The Office for Billing Compliance notes that the number of letters of audit is increasing significantly. A high-ranking staff member at Empire Medicare Services has publicly stated that 40% of all requests for additional information go unanswered. Lack of response to these inquires will lead to delayed payment and possible claim denial. Denied claims, due to unanswered requests for documentation, cannot be resubmitted for payment. Unanswered requests for additional information may lead to investigation for possible fraud and abuse of services. Please contact the Office for Billing Compliance for assistance in addressing requests for additional information. |