what should the cmaa do if a claim is denied during adjudication?\nissue a refund to the patient\nreschedule…
what should the cmaa do if a claim is denied during adjudication?\nissue a refund to the patient\nreschedule the patient’s next appointment\ncontact the patient to resubmit their insurance information\nappeal the denial and submit additional documentation\nquestion 4\nwhich of the following must be verified during utilization review (ur)?\npatient identification\npatient demographic information\npatient outstanding balances\nreferrals and preauthorization
Answer
Brief Explanations:
When a claim is denied during adjudication, appealing the denial and submitting additional documentation is a common - practice to rectify the situation. During Utilization Review, referrals and preauthorization must be verified to ensure proper coverage and service approval.
Answer:
- D. Appeal the denial and submit additional documentation
- D. Referrals and preauthorization