When a patient's health insurance plan supports the ability to check electronically the amount of copayment a patient will be responsible for and the amount of payment the insurance company will make;this is known as:

Question

Quizplus · Accepted Answer

Real-time adjudication refers to the process where healthcare providers can instantly process claims with health insurance companies to determine the amount of copayment a patient owes and the amount the insurance will pay. This system allows for immediate financial transactions and clarity regarding payments, differentiating it from electronic eligibility (which checks insurance coverage) or electronic funds transfer (which is a method of transferring money).

When a Patient's Health Insurance Plan Supports the Ability to Check