In medical billing, a denied claim can be addressed by providing additional documentation or involving the physician and insurance company to resolve the issue efficiently.
When a claim is denied, the medical assistant should provide additional documentation for the time spent and skill of the physician. This can help support the claim and possibly overturn the denial. Asking the physician to call the insurance company may also be beneficial in resolving the issue without delay.
Filing a complaint with the state insurance commissioner should be considered if other methods fail. Sending a bill directly to the patient should be a last resort and may cause unnecessary complications.
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