Question: In your position at Dr. Ericksons office, you work with billing and claim processing on a daily basis. As you review the following scenarios, consider
In your position at Dr. Ericksons office, you work with billing and claim processing on a daily basis. As you review the following scenarios, consider the importance of understanding revenue management terminology.
A patient states, "My insurance company didn't pay the claim you submitted for my office visit. I recently changed jobs. I have a new insurance card that has my policy and ID number on it, but I didn't have this information at my appointment."
What is the most probable reason for the denial?
a. The patient doesn't have insurance
b. The claim was denied because the service was not preauthorized
c. The claim was denied for a coding error
d. The claim was rejected because the policy number was missing
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