Which is a procedure or service reported on a claim that is not included on the payers master benefit list resulting in denial of the claim?
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24/09/2022
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Which type of claim includes those that were rejected due to an error or omission and need to be reprocessed?Chapter 4 Insurance. Which are unpaid claims that have been returned to the provider by third party payers due to coding errors?Denied and rejected claims are unpaid claims that have been returned to the provider by third-party payers. Which is an example of a reason for denied claims? Which is the term for the reason for a denied or rejected claim as reported on the remittance advice or explanation of benefits?
Which of these is the system by which payers deposit funds to the provider's account electronically?An electronic funds transfer, or EFT, is the electronic message used by health plans to order a financial institution to electronically transfer funds to a provider's account to pay for health care services. An EFT includes information such as: Amount being paid. Name and identification of the payer and payee.
What is associated with an unassigned claim?Which is associated with an unassigned claim? generated for providers who do not accept assignment. The patient or insured authorizes the payer to reimburse the provider directly through: assignment of benefits.
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