What action should be taken if an insurance company denies a claim?

Study for the RMA Administrative Assisting Test with our comprehensive guide. Prepare using flashcards and multiple choice questions that come with detailed explanations and hints. Ace your exam with confidence!

The appropriate action to take when an insurance company denies a claim is to request an explanation and adjust the account if necessary. This step is crucial because understanding the reason behind the denial allows for informed decisions on how to proceed. It opens a dialogue with the insurance company that can sometimes lead to reversing the denial if the issue can be clarified or corrected, such as a clerical error or insufficient documentation.

Furthermore, adjusting the account as needed ensures that financial records are accurate, which is important both for the practice's accounting and for the patient's understanding of their financial responsibility. This approach demonstrates professionalism and a commitment to resolving issues on behalf of the patient.

The other options either suggest inaction or would not adequately address the situation, leading to potential financial and administrative complications. It is essential to follow up on denied claims to ensure proper reimbursement and to maintain transparent communication with all relevant parties.

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