Question

What term: can bill a patient bc of a rejected claim, service may be appropriate but not covered under terms of patient's plan/ contract

Option 1: Balance billing
Option 2: Co-payment
Option 3: Deductible
Option 4: Exclusion

Answer 1

The term that can bill a patient because of a rejected claim, service may be appropriate but not covered under terms of patient's plan/contract is Option 4: Exclusion.

Step-by-step explanation:

In this scenario, the correct term is Option 4: Exclusion. An exclusion refers to a situation where a service may be appropriate for a patient, but it is not covered under the terms of the patient's insurance plan or contract. In such cases, the healthcare provider cannot bill the patient for the rejected claim because it is not the patient's responsibility to pay for services that are excluded from their coverage.