Question

When following up on a delinquent claim, if the carrier tells you that it is still in process, you should: Select one: a. resubmit the claim by fax b. send the patient a statement c. request an anticipated date of payment d. resubmit the claim by mail

Answer 1

When a delinquent claim is still in process, it's recommended to request an anticipated date of payment from the insurance carrier, rather than resubmitting the claim or involving the patient.

Step-by-step explanation:

When dealing with a delinquent claim, it is important to keep close communication with the insurance carrier. When the carrier tells you that your delinquent claim is still in process, it is advisable to opt for option c: request an anticipated date of payment. This gives you a timeframe to expect the resolution of the delinquent claim. Conversely, resubmitting the claim via fax or mail (options a and d) might create duplicate claims and complicate the process, while sending the patient a statement (option b) may be unnecessary or even inappropriate at this stage as the insurance carrier has not denied the claim yet, it is merely still being processed.

Learn more about Delinquent Claim Follow-up