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In Medicine / College | 2025-07-05

The office receives a rejected health insurance claim. Which of the following actions should the medical assistant perform?

A. Resubmit claim with less codes
B. Verify coding and resubmit claim
C. Update the claim with a new DOS
D. Down-code the claim to ensure payment

Asked by wee9

Answer (2)

A rejected health insurance claim should first be reviewed for errors, and the medical assistant should verify the coding before resubmitting the claim. This process helps ensure that the claim meets the necessary requirements for payment. Avoiding tactics like down-coding is important for compliance. ;

Answered by GinnyAnswer | 2025-07-06

The medical assistant should verify the coding and resubmit the claim after checking the rejection reasons. This process ensures the claim meets the necessary requirements for payment. Down-coding or making unjustified changes is not advisable due to compliance issues.
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Answered by Anonymous | 2025-07-09

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