When initiating an appeal,in order that the appropriate steps are followed,the health insurance professional should consult the:
A) patient.
B) carrier's guidelines.
C) policy of the practice.
D) state law.

Question

Quizplus · Accepted Answer

When initiating an appeal, it is important to consult the carrier's guidelines to ensure that the appropriate steps are followed. The carrier's guidelines will outline the specific procedures and requirements for submitting an appeal, which can help increase the likelihood of success. While it is also important to consider the patient's needs and the practice's policies, these factors may not provide sufficient guidance for navigating the appeals process. State law may also be relevant, but the carrier's guidelines will typically take precedence over state law in matters related to insurance appeals.

When Initiating an Appeal,in Order That the Appropriate Steps Are