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Author Question: If an insurance carrier does NOT reconsider a downcoded claim that has been appealed, the medical ... (Read 67 times)

geoffrey

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If an insurance carrier does NOT reconsider a downcoded claim that has been appealed, the medical office specialist can:
 
  request assistance from the state insurance commissioner.
 
  file a complaint with the Department of Health and Human Services (DHHS).
 
  file a complaint with the Centers for Medicare and Medicaid Services (CMS).
 
  bill the patient for the remaining balance.

Question 2

If a claim is denied because the carrier does NOT have details about an accident, the appeal can be handled through a telephone call.
 
  Indicate whether this statement is true or false.


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Tabitha_2016

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geoffrey

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Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review


upturnedfurball

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

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