Which of the following causes a claim to be suspended?

• A. Services require additional information
• B. Incomplete patient demographics
• C. Missing physician signature
• D. Incorrect billing code

Answer: (A)

Suspension happens when the payer can’t adjudicate a claim yet and asks for more information before proceeding. Saying that the services require additional information is the clearest trigger for this status because it signals that documentation or details about the billed services are needed (for example, chart notes, rationale, or supporting reports). Until that information is provided, the claim stays in a suspended state while the payer waits for the missing data.

Incomplete patient demographics, missing physician signature, or an incorrect billing code are more likely to cause rejection or denial, where the claim is denied or returned for correction rather than being held in suspension pending extra information.