Author Question: A provider's office submits a claim for payment two years after the services were rendered to the ... (Read 68 times)

scienceeasy · **on:** Jun 27, 2018

A provider's office submits a claim for payment two years after the services were rendered to the patient. The filing period for the insurance company is 12 months. What would be the result for this claim?
A) rejection
B) denial
C) payment
D)appeal

Question 2

A patient requires a cardiac catheterization procedure to be done as an outpatient at a local hospital. This procedure is performed, and the claim is sent to the clearinghouse for processing. The provider receives an explanation of benefits (EOB) detailing that the claim was not preauthorized, and therefore __________ are paid to the provider.
A) 0
B) 100
C) 150
D)200