Which option is the correct action if eligibility shows coverage is inactive on the date of service?
QUESTION
What is the patient's coinsurance amount if allowed is 200 and coinsurance is 20%?
QUESTION
Identify the correct action when a plan requires prior authorization and none is on file.
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ANSWER
Obtain authorization before service or reschedule if non-urgent. This step secures coverage approval, preventing denials and financial loss for non-emergent procedures.