The Difference Between a Rejected Claim and a Denied Claim

question 848

Multiple Choice

The difference between a rejected claim and a denied claim is that

• A) a rejected claim is sent back to the provider; errors may be corrected and the claim resubmitted.
• B) a denied claim is sent back to the provider; errors may be corrected and the claim resubmitted.
• C) a rejected claim may be appealed, but a denied claim may not be appealed.
• D) if a procedure or service is unauthorized, the claim will be rejected, not denied.

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Definitions:

Activation Energy

Minimum amount of energy required to start a reaction.

Reactant Molecules

Substances that take part in a chemical reaction and are consumed to form products.

Transition State

A high-energy state during a chemical reaction where reactants are converted to products, representing a point of maximum energy along the reaction pathway.

Free Energy

A thermodynamic quantity that represents the amount of energy in a system that is available to do work at constant temperature and pressure.