Which of the following is an example of a reason why a claim would get a denial by an insurer?
A) The patient was not eligible on the date of service
B) A prior authorization was obtained when not needed
C) The services were an emergency
D) Contracted fees and payment terms were excessive

Question

Quizplus · Accepted Answer

A claim can be denied if the patient was not eligible for coverage on the date of service, as the insurer would not be responsible for payment.

Which of the Following Is an Example of a Reason