Can beneficiaries request a review of a denied claim?

Beneficiaries can indeed appeal a denied claim, which is fundamental to the Medicare claims process. The appeal process allows individuals to challenge a decision made by Medicare regarding the services or items for which they are billed. This process is in place to ensure that beneficiaries have the opportunity to present their case, potentially leading to a reversal of the denial if it is found that the service should be covered.

When a claim is denied, beneficiaries receive a notice explaining why the claim was not approved, and they can use this notice to understand the basis for the decision. They are then provided with specific steps to follow to initiate their appeal, including deadlines for submitting their appeal and the necessary documentation. This protective measure upholds the rights of beneficiaries to receive fair treatment and potentially rectify any errors or misunderstandings related to their claims.

In summary, allowing appeals enhances accountability in the Medicare system and ensures beneficiaries can seek reconsideration of denied claims, which is why this option is correctly identified as the appropriate response to the question.