Health Insurance Claims and Denials - Module 4 of 5
A claim is a request for payment that a policyholder submits to her ________________ after she receives medical services.
Which of the following WILL be included on a health insurance claim form?
What is the most common legal issue that arises regarding a notice of claim?
Whether a notice was “timely” is a factual question that turns on the circumstances of each case.
Why is it important for a policyholder to provide her insurer with sufficient notice?
Generally, _______________ is not considered ignorance that will excuse a holder from filing a timely notice
What is the notice-prejudice rule?
The misrepresentation made by a policyholder must be ________ in order to be considered fraudulent.
Which of the following is a reason for an insurer to deny a policyholder’s claim?
During _________ of an insurer’s denial of claim, _______________ will review and analyze the claim filed by the policyholder.