When a provider receives a partial payment on a claim because the amount billed was in excess of the maximum allowed charge, this is a:
A) denial.
B) downcode.
C) determination.
D) disallowance.
Correct Answer:
Verified
Q47: The plan section of the medical record
Q48: Wrongfully keeping an overpayment is illegal and
Q49: Statistics show that the percentage of claims
Q50: If a claim is denied due to
Q51: If a denial is upheld when regulatory
Q53: If the services provided are NOT appropriate
Q54: When payment is denied, the insurance carrier
Q55: The statute of limitations for refunds in
Q56: A medical office specialist can appeal a
Q57: When answering a patient's questions about claims,
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