What Should Be Done If an Insurance Claim Denial Is

question 25

Multiple Choice

What should be done if an insurance claim denial is received because a billed service was not a program benefit?

• A) Rebill with a letter of explanation from the physician.
• B) Write-off the amount on the patient's ledger.
• C) Send the patient a statement with a notation of the response from the insurance company.
• D) Appeal the decision with a statement from the physician.

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Definitions:

Suggestibility

The quality of being inclined to accept and act on the suggestions of others.

Mutual Exclusivity

A concept where the occurrence of one event makes the occurrence of another event impossible in the same context.

Fast Mapping

A process by which children learn new words after only a brief encounter, connecting it with their own mental categories.

Logical Extension

A strategy children use to increase their vocabulary in which they extend a new word to other objects in the same category.