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Author Question: A Medicare __________ is sent to a provider when a Medicare claim has been filed but needs ... (Read 27 times)

09madisonrousseau09

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on: Jun 27, 2018
A Medicare __________ is sent to a provider when a Medicare claim has been filed but needs additional information or documentation before the claim can be processed and paid.
 
  Fill in the blank with correct word.

Question 2

The steps that result in an insurance carrier's decision to either pay or deny a claim are known as:
 
  allocation.
 
  adjudication.
 
  determination.
 
  justification.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
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stallen

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Reply #1 on: Jun 27, 2018
Answer to Question 1

Development Letter

Answer to Question 2

Answer: adjudication.


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