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
Correct Answer:
Verified
Q35: Covered entities are required to use mandated
Q36: Claims adjudication involves making a determination about
Q37: The computer-to-computer transfer of data between providers
Q38: Which involves sorting claims upon submission to
Q39: Which is an electronic format supported for
Q41: Providers have the option of arranging for
Q42: The patient underwent office surgery on March
Q43: Medicare calls its remittance advice a(n) _.
A)
Q44: Which amended the Truth in Lending Act
Q45: A remittance advice submitted to the provider
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