All of the Following Claims Can Be Appealed by Telephone

question 82

Multiple Choice

All of the following claims can be appealed by telephone EXCEPT those in which:

• A) a modifier was used to indicate multiple procedures that the carrier bundled.
• B) the claim was considered not medically necessary.
• C) the carrier requested information from the patient that was not received.
• D) the patient had a routine service covered by the policy.

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Definitions:

Diversity

The inclusion of individuals representing more than one national origin, color, religion, socioeconomic stratum, sexual orientation, etc., especially in a group or organization.

Heterogeneity

The quality of being diverse and not uniform in composition or character, often used in the context of markets or services.

Customization

The process of modifying a product or service to meet the specific needs or preferences of individual customers or a targeted market segment.

Underapplied Overhead

Refers to the situation where the allocated manufacturing overhead cost is less than the actual overhead cost incurred.