When a medical practice makes a decision to submit insurance claims electronically to a third-party payer,it must usually first go through a/an:
A) internal audit.
B) appeals process.
C) enrollment process.
D) background check.

Question

Quizplus · Accepted Answer

The enrollment process is required for a medical practice to submit electronic insurance claims to a third-party payer. This process involves registering and setting up agreements with the payer to ensure proper submission and reimbursement. An internal audit may be conducted for quality control purposes, an appeals process is typically used for denied claims, and a background check is not necessary for this type of transaction.

When a Medical Practice Makes a Decision to Submit Insurance