Once a rejected claim has been corrected, it is __________ for processing.
A) denied
B) resubmitted
C) filed
D)authorized
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Q. 2) Place-of-service codes that do not match procedure codes would result in the claim being __________.
A) rejected
B) denied
C) written off
D)processed
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Q. 3) These can be initiated by the provider or the patient for a claim to be reconsidered by the insurance carrier.
A) denials
B) appeals
C) rejections
D)noncovered services
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Q. 4) A claim for an unauthorized procedure will result in what type of notification to the provider's office?
A) rejected
B) denied
C) unauthorized
D)appealed
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Q. 5) A provider's office received an explanation of benefits (EOB) that details a denial of payment. What is the next step in responding to this denied claim?
A) appeal
B) hire an attorney
C) bill the patient
D)write off the claim amount
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Q. 6) Submission of a claim with missing patient information will result in a denied claim.
Indicate whether the statement is true or false
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Q. 7) An incorrect or invalid ICD-9-CM code could result in a rejected claim.
Indicate whether the statement is true or false
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Q. 8) Submitting a claim for a noncovered service may result in a denied claim.
Indicate whether the statement is true or false
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Q. 9) Not obtaining prior authorization for a procedure could result in a rejected claim.
Indicate whether the statement is true or false
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Q. 10) Services that are not covered by the payer are called noncovered services.
Indicate whether the statement is true or false
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