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    Medicine
  3. Study Set
    Comprehensive Health Insurance
  4. Exam
    Exam 16: Refunds and Appeals
  5. Question
    When a Provider Receives a Partial Payment on a Claim
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When a Provider Receives a Partial Payment on a Claim

Question 97

Question 97

Multiple Choice

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:


A) denial.
B) downcode.
C) determination.
D) disallowance.

Correct Answer:

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