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Which Involves Comparing the Claim to Payer Edits and the Patient's

Question 40

Multiple Choice

Which involves comparing the claim to payer edits and the patient's health plan benefits to verify that the required information is available to process the claim, the claim is not a duplicate, payer rules and procedures have been followed, and procedures performed or services provided are covered benefits?


A) claims adjudication
B) claims payment
C) claims processing
D) claims submission

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