What action should be taken if an insurance claim is denied?

When an insurance claim is denied, the most effective action to take is to resubmit the claim with corrected or additional information as soon as possible. This step is crucial because a denial often indicates that the insurance provider requires more information or clarification regarding the initial claim submission. By addressing the specific reasons for the denial—whether they stem from incomplete documentation, coding errors, or missing details—you increase the likelihood that the revised claim will be accepted upon resubmission.

Prompt resubmission is important in maintaining an efficient claims processing timeline, as insurance companies usually have specific deadlines for the acceptance of claims. Addressing the issues swiftly not only facilitates a quicker resolution but also demonstrates diligence in managing the patient’s account.

The other options do not effectively address the issue of a denied claim. Submitting a new claim without changes would most likely lead to another denial for the same reasons. Waiting for the insurance company to contact you risks extended delays and could impede financial resolution of the claim. Canceling the claim entirely generally eliminates any chance of receiving the needed reimbursement for the services provided. Resubmitting with the appropriate adjustments is the most strategic course of action to improve the chances of claim approval.