If a Claim Is Denied as a Noncovered Service, the Medical

question 6

Multiple Choice

If a claim is denied as a noncovered service, the medical office specialist should:

• A) bill the patient.
• B) write off the entire amount.
• C) negotiate with the patient for partial payment.
• D) file an appeal with the insurance carrier.

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Definitions:

Restraint of Trade

Legal term referring to any activity or agreement that restricts or impedes free competition in the market, often deemed unenforceable or illegal.

Horizontal

Describes a peer relationship in business or management settings, implicating equivalence rather than hierarchy.

Vertical

Describes the integration or arrangement within a supply chain where a company controls multiple stages of production or distribution, from raw materials to final product delivery.

Antitrust Law

Antitrust law comprises regulations established to promote fair competition and prevent monopolistic business practices.