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What action will be taken if any boxes in block 10 are checked 'Yes'?

a) The claim will be denied
b) The claim will be reimbursed upfront
c) The claim will be flagged for further review
d) The claim will be processed without any review

User Belindanju
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1 Answer

2 votes

Final answer:

If any boxes in block 10 are checked 'Yes', the claim will be flagged for further review. This step is necessary to ensure all criteria are met before deciding on approval or denial of the claim. The other options are not immediately applicable to a 'Yes' check in block 10.

Step-by-step explanation:

If any boxes in block 10 are checked 'Yes', the correct course of action would be c) The claim will be flagged for further review. This is because affirmative answers in certain sections of a form, particularly in relation to claims, typically trigger a need for additional information or investigation to validate the claim before processing it further. A 'Yes' in block 10 indicates an issue that may require supporting documentation or clarification to ensure the claim meets all necessary criteria for approval or denial.

Options a), b), and d) are therefore less likely to be the immediate actions taken after an affirmative in block 10. A denied claim (a) or a claim reimbursed upfront (b) would occur after a thorough review based on the information flagged. Similarly, processing a claim without any review (d) would overlook the flagged concerns, which may be critical for the integrity of the claim process.

User Mandrive
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