List at least three reasons for contacting an insurance carrier to follow up on a claim.

What will be an ideal response?


Reasons for contacting an insurance carrier to follow up on a claim can be any three of the following: carrier sends a letter saying the claim is being investigated; the claim is denied; an incorrect payment is received; payment is received with no indication of the allowed charge or the amount the patient is responsible for; payment is received for an unknown patient; and the carrier asks for a narrative description of a procedure for which there is no current CPT code.

Health Professions

You might also like to view...

A full third of persons with cerebral palsy are:

a. developmentally challenged. b. of normal intelligence. c. unable to communicate in any way. d. mentally challenged.

Health Professions

When two or more modifiers are necessary to completely define a service, the medical office assistant should:

A) list each modifier on the same line as the CPT code, separated by commas. B) repeat the CPT code and append each modifier as many times as necessary. C) attach a special report instead of using the modifiers. D) append modifier -99 to the basic procedure code and list the other modifiers as part of the description of service.

Health Professions

All male parakeets have red beaks

Indicate whether the statement is true or false

Health Professions

Variance analysis is most commonly performed on ____.

A. operating budgets B. statistical budgets C. breakeven calculations D. budget amendments

Health Professions