Which action is typically NOT part of the medical claims process?

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In the medical claims process, the primary focus is on the submission and management of claims to ensure that healthcare providers are reimbursed for the services they perform. Submitting claims to insurers is a fundamental step where healthcare providers send the necessary documentation to insurance companies to receive payment for services rendered. Following up on unpaid claims is also a crucial part of this process, as it involves tracking the status of claims to ensure they are processed efficiently and appropriately.

Adjusting patient co-pay amounts can be part of the billing procedures, as it ensures that billing aligns with the patient's insurance policy and the services provided. However, filing legal lawsuits for unpaid bills does not usually fall under the routine actions of the medical claims process. Legal action typically comes into play only after all other avenues for payment have been exhausted and is handled by legal professionals, rather than being a standard procedure in claim management. Thus, this action stands out as not being part of the usual claims processing procedures.

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