Often a commercial payer will implement changes to claims completion requirements throughout the year, and most providers discover these changes:

The correct choice indicates that providers often discover changes to claims completion requirements primarily when claims are denied. This situation arises because denial of a claim forces providers to examine the reasons behind the denial, which may reveal that updates in billing guidelines or requirements were not followed. Additionally, a denied claim often necessitates further investigation into the specifics of the claim submission, including changes in coding, documentation, and payer policies.

By interacting with denied claims, healthcare providers can identify discrepancies between their submissions and the latest requirements set by commercial payers. Continual changes in payment policies can lead to interruptions in cash flow, emphasizing the necessity for providers to stay vigilant about payer communications and maintain a thorough understanding of claims processes.

While the other options may provide useful information, they are not primary sources for discovering changes related to claims requirements. For instance, the accept assignment form pertains more to the agreement between providers and payers about how the payment will be accepted rather than detailing changes in claims submission protocols. The superbill is a tool commonly used for capturing the services rendered during a patient visit, and while it is essential for coding, it does not typically communicate changes in payer requirements. Lastly, an explanation of benefits (EOB) primarily outlines payment decisions after claims have been processed; it