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Author Question: What is the difference between a denied claim and a disallowance? What will be an ideal ... (Read 28 times)

sheilaspns

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on: Jun 25, 2018
What is the difference between a denied claim and a disallowance?
 
  What will be an ideal response?

Question 2

The ICD-10-CM code set is updated:
 
  A) monthly.
  B) weekly.
  C) quarterly.
  D) annually.


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alvinum

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Reply #1 on: Jun 25, 2018
Answer to Question 1

A denied claim is one the carrier received and processed but did not pay due to benefits or coverage issues. Disallowances represent partial payment on claims because they are above the maximum allowable fee.

Answer to Question 2

D


sheilaspns

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Reply 2 on: Jun 25, 2018
Wow, this really help

coreycathey

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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