The term __________ during claim adjudication means that the payer needs more information to process the claim.
A) redetermination
B) suspended
C) determination
D) development
Correct Answer:
Verified
Q11: Claim adjustment reason codes are used by
Q12: The person filing an appeal is known
Q13: Remittance advice remark codes are maintained by
Q14: Filing a grievance with the state insurance
Q15: Funds that are electronically transferred from a
Q17: Prompt-pay laws govern
A) physicians to pay pharmacies
Q18: Which of these codes might payers use
Q19: A paper explanation of benefits (EOB) is
Q20: An aging report groups unpaid claims or
Q21: Which of the following statements is true?
A)
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