Compliment and Suggestion

A claim appeared to be rejected so I emailed the helpdesk and 3-4 days later a very pleasant lady called me, got straight to the point and explained that the claim was not actually rejected, there was just an issue with how the medical provider had submitted the claim, she explained clearly what was required, so I was able to advise the medical provider accordingly. She did admit though that the coding was very confusing to the patient and the medical provider. Perhaps the coding and descriptions can be more explanatory on the claims status reports?