menu-iconExamlexExamLexServices

Discover

Ask a Question
  1. All Topics
  2. Topic
    Medicine
  3. Study Set
    Comprehensive Health Insurance
  4. Exam
    Exam 15: Explanation of Benefits and Payment Adjudication
  5. Question
    The Steps That Result in an Insurance Carrier's Decision to Either
Solved

The Steps That Result in an Insurance Carrier's Decision to Either

Question 61

Question 61

Multiple Choice

The steps that result in an insurance carrier's decision to either pay or deny a claim are known as:


A) allocation.
B) adjudication.
C) determination.
D) justification.

Correct Answer:

verifed

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Related Questions

Q56: If a carrier downcodes a claim and

Q57: What is meant by verifying medical necessity

Q58: Electronic funds transfer (EFT) is more costly

Q59: Medical necessity reduction by an insurance carrier

Q60: A patient's out-of-pocket expenses include deductibles, coinsurance,

Q62: Claims processing involves the verification of medical

Q63: Match the following<br><br>-A number used to multiply

Q64: The notification sent by the insurance carrier

Q65: During the patient's care, all procedures and

Q66: Match the following<br><br>-The act of processing a

Examlex

ExamLex

About UsContact UsPerks CenterHomeschoolingTest Prep

Work With Us

Campus RepresentativeInfluencers

Links

FaqPricingChrome Extension

Download The App

Get App StoreGet Google Play

Policies

Privacy PolicyTerms of ServiceHonor CodeCommunity Guidelines

Scan To Download

qr-code

Copyright © (2025) ExamLex LLC.

Privacy PolicyTerms Of ServiceHonor CodeCommunity Guidelines