An example of a claim submission should include which of the following?

The inclusion of the provider's documentation in a claim submission is critical for several reasons. First, the provider's documentation serves as the foundational evidence of the services rendered to the patient. This documentation typically contains details about the patient's diagnosis, treatment provided, and any procedures that were performed, which are necessary for the insurance company to evaluate the claim and determine coverage.

Moreover, accurate provider documentation helps ensure that the services billed match the services provided, reducing the likelihood of claim denials. This documentation can include the medical coding and notes that justify the procedures and services billed, which are essential for the reimbursement process. The use of precise and thorough documentation can streamline the claims process and support timely payment by the insurance payer.

Other options do not encompass the critical elements necessary for effective claim submission. For instance, while a patient's medical history can provide useful context, it is not typically required for billing unless specifically relevant to the treatment. A patient’s insurance card is important for verifying coverage but does not document the services provided. Practice's internal notes may provide background information but are not part of the formal claim submission and therefore do not support the claims process in a manner that meets the requirements set by insurers.