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    Medicine
  3. Study Set
    Comprehensive Health Insurance
  4. Exam
    Exam 15: Explanation of Benefits and Payment Adjudication
  5. Question
    A Claim That Is Removed from a Payer's Automated Processing
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A Claim That Is Removed from a Payer's Automated Processing

Question 67

Question 67

Multiple Choice

A claim that is removed from a payer's automated processing system for additional review is subject to:


A) preauthorization.
B) manual review.
C) medical-necessity examination.
D) claims edit.

Correct Answer:

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