Which activity do you perform when the payer did not receive the claim and you need to send them a new claim?

Which activity do you perform when the payer did not receive the claim and you need to send them a new claim?

• A. Defer
• B. Create a new claim
• C. Resubmit Claim
• D. Cancel Claim

Answer: (C)

Resubmitting a claim is the action you take when the payer did not receive the original submission. You resend the same claim through the payer’s submission channel so they can process it again, without starting a brand-new bill. This approach keeps the original claim’s details intact and avoids creating duplicates, making it the correct path when a transmission never reached the payer or was rejected. Defer would just delay action, creating a new claim would initiate a separate, new bill rather than retrying the existing one, and cancel would remove the claim rather than reattempting submission.

Resubmitting a claim is the action you take when the payer did not receive the original submission. You resend the same claim through the payer’s submission channel so they can process it again, without starting a brand-new bill. This approach keeps the original claim’s details intact and avoids creating duplicates, making it the correct path when a transmission never reached the payer or was rejected. Defer would just delay action, creating a new claim would initiate a separate, new bill rather than retrying the existing one, and cancel would remove the claim rather than reattempting submission.