If an Insurance Carrier Does NOT Reconsider a Downcoded Claim

Multiple Choice

If an insurance carrier does NOT reconsider a downcoded claim that has been appealed, the medical office specialist can:

A) request assistance from the state insurance commissioner.
B) file a complaint with the Department of Health and Human Services (DHHS) .
C) file a complaint with the Centers for Medicare and Medicaid Services (CMS) .
D) bill the patient for the remaining balance.