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Author Question: What is the difference between a denied claim and a disallowance? What will be an ideal ... (Read 92 times)

sheilaspns

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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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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
Thanks for the timely response, appreciate it


mjenn52

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Reply 3 on: Yesterday
Gracias!

 

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