A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to
a. assigning ICD-10-CM and CPT codes.
b. billing patients for copayments and coinsurance.
c. determining medical necessity of services/procedures.
d. resubmitting denied claims to health care providers.
Question 2
The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.
a. dates of service for procedures
b. diagnoses and procedures/services
c. health insurance claims identifiers
d. national provider identifiers
The health history can be gathered from many sources
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