If the health insurance professional believes a claim has been wrongly denied,he or she can:
A) file an appeal.
B) start a small claims lawsuit.
C) disregard the denied claim and resubmit it.
D) do nothing; once a claim is denied, it is finished.

Question

Quizplus · Accepted Answer

Filing an appeal is the appropriate course of action if the health insurance professional believes a claim has been wrongly denied. This provides a formal mechanism for the claim to be reviewed and potentially overturned. Starting a small claims lawsuit or disregarding the denied claim and resubmitting it are not recommended options, and doing nothing is not productive.

If the Health Insurance Professional Believes a Claim Has Been