When a provider receives a partial payment on a claim because the amount billed was in excess of the ...

Author Question: When a provider receives a partial payment on a claim because the amount billed was in excess of the ... (Read 73 times)

torybrooks

Hero Member
Posts: 500

on: Jun 27, 2018

When a provider receives a partial payment on a claim because the amount billed was in excess of the maximum allowed charge, this is a:

denial.

downcode.

determination.

disallowance.

Question 2

What is Medicare Part D?

What will be an ideal response?

Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3^rd Edition

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dmurph1496

Sr. Member
Posts: 343

Reply #1 on: Jun 27, 2018

Answer to Question 1

Answer: disallowance.

Answer to Question 2

Answer: Medicare Part D provides prescription drug coverage.

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