Which of the Following Is an Example of a Reason

question 14

Multiple Choice

Which of the following is an example of a reason why a claim would get a denial by an insurer?

• A) The patient was not eligible on the date of service
• B) A prior authorization was obtained when not needed
• C) The services were an emergency
• D) Contracted fees and payment terms were excessive

---

Definitions:

Non-self-executing

A term used to describe treaties or provisions that require additional legislation to be implemented domestically.

Treaties

Formal agreements between countries that are governed by international law.

Foreign State

A foreign state refers to a country that is recognized as an independent nation and operates under its own government, distinct from the state in which a legal judgment or context is being considered.

Civil Actions

Legal proceedings initiated by a private individual or entity seeking to enforce a right or redress a wrong, rather than to prosecute a criminal act.