AJR. American journal of roentgenology
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AJR Am J Roentgenol · Jul 2004
Unpaid radiology claims in New Jersey: incidence and financial implications.
Nonpayment of claims by insurers may lead to major financial losses by physicians. These losses may far exceed the losses from late payment that we studied previously, although it is late payment that has been the primary focus of legislation enacted in 47 states. This article quantifies the loss to radiologists from nonpayment of claims submitted to payers on behalf of patients with insurance. ⋯ The financial consequences of unpaid claims far exceed those associated with late payment, even omitting all unpaid claims that were disputed by payers. Legislation coupled with active enforcement should address this large problem of unpaid claims, which is many times larger than the already legislatively targeted problem of late payment.