What is the term for rejecting a specific line on a billing claim without the option to appeal?

The term for rejecting a specific line on a billing claim without the option to appeal is known as a line item rejection. This terminology is specifically used to describe situations in which an individual charge within a larger claim has been disallowed by the payer.

In this context, line item rejection indicates that while other parts of the claim may still be acceptable or eligible for reimbursement, the specific line in question does not meet the criteria for payment based on the payer's policies or guidelines. Consequently, since it pertains to a specific detail within the claim rather than the claim as a whole, the focus is on that individual line rather than broader claim denials or disputes.

In contrast, claim denial refers to the rejection of the entire claim rather than specific items. Chargeback is typically associated with the reversal of a transaction or payment in the context of credit processing. A billing dispute may involve disagreements or negotiations surrounding the charges or adjustments applied to a claim but does not explicitly pertain to the act of rejecting a line item. Thus, recognizing the specific focus of line item rejections is key to understanding this aspect of the revenue cycle.