When a claim is pulled by a payer for a manual review, the provider may be asked to submit
A) revised procedure codes.
B) clinical documentation.
C) a new diagnosis.
D) revised charges.

Question

Quizplus · Accepted Answer

When a claim is pulled by a payer for a manual review, the provider may be asked to submit clinical documentation to support the services billed. This documentation helps the payer verify that the services were medically necessary and appropriately provided.

When a Claim Is Pulled by a Payer for a Manual