What happens if payment is made because of failure to honor an assignment?

a. The incorrect payment made to the member will stand.
b. The provider of service can also request payment.
c. Payment must be made to the insured.
d. An adjustment is made in favor of the insured.

B

Health Professions

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What considerations are part of an evaluation of Reasonableness and Necessity? Identify and explain how an item may meet the definition of DME and yet not be covered by the plan

What will be an ideal response?

Health Professions

Do NOT assign separate codes to ________of a Root Operation

Fill in the blank with correct word.

Health Professions