The correct answer is (d) resubmit the claim with the completed information.
What occurs in billing and coding?
When a billing and coding specialist receives a denial from a third-party payor due to missing information, the most appropriate action is to resubmit the claim with the completed information. This ensures that the claim is processed accurately and that the specialist receives reimbursement for the services provided.
The other options are not appropriate. Option (a), requesting reimbursement from the patient, is not the responsibility of the billing and coding specialist. Option (b), submitting and adjusting, is only applicable if the claim has already been processed and needs to be corrected. Option (c), contacting the third-party payor to provide the information, is only necessary if the specialist needs to clarify the missing information before resubmitting the claim.
Therefore, the most effective way to receive reimbursement when a claim is denied due to missing information is to resubmit the claim with the completed information.