If a patient is upset about a claim denial, the medical office specialist should do all of the following EXCEPT:

explain in simple language why the insurance carrier denied payment.

ask the patient to call the insurance carrier to try to get them to reconsider.

use respect and care when explaining policy benefits.

if the denial was due to a need for additional information, submit the additional documentation immediately and let the patient know it has been done.


Answer: ask the patient to call the insurance carrier to try to get them to reconsider.

Health Professions

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