Beneficiaries who are not satisfied with the amount of a claim reimbursement may file a/an:
A) secondary claim.
B) grievance.
C) appeal.
D) ABN.

Question

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Beneficiaries who are not satisfied with the amount of a claim reimbursement may file an appeal to challenge the decision. A grievance is a formal complaint about the quality of care received, while a secondary claim is a claim submitted for services not covered by the primary insurance. ABN (Advance Beneficiary Notice) is a form used to inform a patient that Medicare may not cover a particular service or item, and the patient will be responsible for paying for it.

Beneficiaries Who Are Not Satisfied with the Amount of a Claim