Practice Quiz

Managed Care Nursing

Category - Patient Issues

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Which are the three chronologically correct steps for an insurance internal appeals process?
  1. File a claim, claim denied, file an internal appeal for denial within six months
  2. File a claim, claim denied, file an external appeal for denial within six months
  3. File a claim, claim denied, file an external appeal for denial within three months
  4. File a claim, claim denied, file an internal appeal for denial within three months
  5. None of the above
Explanation
Answer: A- The correct chronological steps to follow for an insurance internal appeal are filing a claim, claim denied, and file an internal appeal for denial within six months.

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