This topic contains a solution. Click here to go to the answer

Author Question: A provider performs a procedure in the office that, per the insurance company, should have been done ... (Read 114 times)

formula1

  • Hero Member
  • *****
  • Posts: 666
A provider performs a procedure in the office that, per the insurance company, should have been done in an outpatient ambulatory center. The claim for this service would be identified as a(n) __________ claim.
 A) rejected
  B) denied
  C) unauthorized
 D)noncovered services

Question 2

A claim submitted for a patient whose insurance coverage is not yet effective would result in what type of explanation of benefits (EOB)?
 A) denial
  B) unauthorized
  C) noncovered
 D)rejected



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

fffftttt

  • Sr. Member
  • ****
  • Posts: 322
Answer to Question 1

A

Answer to Question 2

A





 

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

For a complete list of videos, visit our video library