Multiple Choice
Adjudication is the process by which:
A) a claim is paid in a timely manner.
B) a claim is reviewed and payment decisions are made by the payer.
C) data are entered into an electronic file or account.
D) a healthcare provider is sued by a patient.
Correct Answer:
Verified
Correct Answer:
Verified
Q50: How frequently claims are submitted can vary
Q51: Participating providers can balance bill,but nonparticipating providers
Q52: While coordination of benefits (COB)does not occur
Q53: Real Time Claims Adjudication (RTCA)allows instant adjudication
Q54: HIPAA has developed a transaction that allows
Q55: Medicare secondary payer claims are claims that
Q56: What information can usually be deduced from
Q57: The key to knowing how much of
Q58: The claims process actually starts with the
Q59: Verifying a patient's healthcare coverage is an