If a Claim Is Denied Because Services Were Provided Before

question 98

Multiple Choice

If a claim is denied because services were provided before insurance coverage was in effect, the medical office specialist should:

• A) bill the patient.
• B) write off the entire amount.
• C) wait until the effective date of the coverage, then bill the insurance carrier.
• D) change the date of service and resubmit the claim.

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Definitions:

Antitrust Laws

Legislation enacted to promote competition and restrict monopolistic practices by prohibiting agreements or practices that restrain trade.

Foreign Sovereign Immunities Act

A federal law in the United States that sets limits on the extent to which foreign nations and their related entities can be sued in U.S. courts.

Federal Court Jurisdiction

The authority granted to federal courts to hear and decide cases based on subject matter or parties involved.

Commercial Activity

Business operations or actions undertaken for the purpose of generating profit.