You receive an EOB for a patient who is covered by an HMO. The HMO did not pay for services received on May 5, which is when the patient visited Dr. Larsen for her annual Pap smear. You check your records and find that the same insurance carrier paid for previous Pap smears for the same patient in past years. What should you do? Check the accuracy of the codes. Check the insurance plan for any changes in benefits during the last year. Bill the patient since it was not covered. Check for code accuracy and insurance changes.

You receive an EOB for a patient who is covered by an HMO. The HMO did not pay for services received on May 5, which is when the patient visited Dr. Larsen for her annual Pap smear. You check your records and find that the same insurance carrier paid for previous Pap smears for the same patient in past years. What should you do? Check the accuracy of the codes. Check the insurance plan for any changes in benefits during the last year. Bill the patient since it was not covered. Check for code accuracy and insurance changes.

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