167k views
5 votes
When a claim payment has been denied, the denial:

1) Is always found to be in error and a prompt appeal should be made
2) May be valid and should not be appealed
3) Should be analyzed and if it was denied in error, an appeal should be initiated
4) Both B and C

User Kurt UXD
by
7.5k points

1 Answer

4 votes

Final answer:

A denied claim payment should be carefully analyzed. If it was denied in error, an appeal should be initiated. However, if the denial is valid, there should be no appeal.

Step-by-step explanation:

When a claim payment has been denied, it's essential to analyze the reasons for denial. If the claim has been denied by the insurance company or another party responsible for the payment, it does not necessarily mean the denial is in error. Each denial of a claim should be scrutinized; if errors are found or if there's a justifiable reason to believe the claim was wrongly denied, then an appeal should be initiated. It's also possible that the denial is valid, and in such cases, an appeal would not be necessary.

Therefore, the correct answer is: 3) Should be analyzed and if it was denied in error, an appeal should be initiated.

User Mitch Sitin
by
8.4k points