When a managed vision care claim is denied, which report records the denial?

• A. Eligibility report
• B. Approvals summary
• C. Utilization report
• D. Denied claim log

Answer: (D)

When a claim is not paid, this is recorded in the Denied claim log. This log is specifically kept to capture every denial, including details like the claim, patient, provider, service, denial reason, and date. Having a dedicated place for denials makes it easy to follow up, file appeals if needed, and spot trends in why claims are being denied.

Other reports serve different purposes: the eligibility report confirms whether a member is eligible for benefits, not the outcome of a specific claim; the approvals summary tracks services that received authorization or were approved; and the utilization report shows how often and what services are used, without focusing on claim denials.