List the steps to be taken in the following circumstance.

The RA or EOB indicates that a service was denied. The reason stated was that there is no such patient covered by the insurance company.

What will be an ideal response?


Steps for Denial
Check information from the registration form for name of patient, subscriber, insurance information, and ID numbers against a copy of the claim form and information on the EOB.

If the information on the claim form was inaccurate, resubmit the claim with the correct information.

Students can review chapter one for information that is
on a registration form and its importance for accuracy and to the revenue cycle. If the patient did not have insurance, the process of billing and collection should begin.

Health & Biomechanics

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