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Allison is overwhelmed in her new job in the insurance claim processing department. Her supervisor is looking for a pending claim in Allison's desk and finds a drawer market "Returns," which contains nearly a hundred returned claims sent back by the carriers for various reasons. List 3 reasons that claims could be returned by the insurance companies.
Weegy: 3 reasons that claims could be returned by the insurance companies are: If a claimant's premiums have not been paid in full, the policy itself may not be active. [ [ Another insurance company may have already agreed to pay for the damages listed in the claim. Another reason an insurance claim may be rejected is a failure to fall under covered conditions. Most insurance policies spell out specific areas which qualify for benefits. If the accident or damage claim was caused by carelessness or an unavoidable "Act of God", the insurance company has the right to withhold payments. ] ] User: You are working the collection Accounts Recievable (A/R) and you come across a patient who has moved and left no forwarding address. The patient happens to be a friend of yours. Should you update the records and proceed with collections. Why or why not? Weegy: Medical expenses were incurred before insurance coverage, noncovered service deemed not a medical necessity, provider's address, PIN, or customer has failed to give their insurer all the information it needs. (More)
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Asked 7/3/2012 11:05:39 PM
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