How can a payer deny a claim due to a non-covered service?

How can a payer deny a claim due to a non-covered service?

• A. The payer determines the service is not covered under the patient's health plan benefits.
• B. The service was performed by an out-of-network provider.
• C. The patient did not provide consent for data sharing.
• D. The claim was submitted after the annual deductible was met.

Answer: (A)