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    Medicine
  3. Study Set
    Comprehensive Health Insurance
  4. Exam
    Exam 15: Explanation of Benefits and Payment Adjudication
  5. Question
    If a Claim Is Denied Due to Lack of Medical
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If a Claim Is Denied Due to Lack of Medical

Question 83

Question 83

True/False

If a claim is denied due to lack of medical necessity, the provider must refund any payment made by the carrier and can bill the patient for the balance.

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