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Identify the following terms with the appropriate definition.
1. Claim status when the payer is developing the claim
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2. Document describing a payment resulting from a claim adjudication
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3. Electronic transaction for payment explanation
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4. States' laws obligating carriers to pay clean claims within a certain time period
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5. Claim status when the payer is waiting for information
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6. Used on an RA to indicate the general type of reason code for an adjustment
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7. Explain payers' payment decisions
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8. Software featuring enabling automatic entry of payments on a remittance advice
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9. Comparison of two numbers
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10. Request for reconsideration of a claim adjudication
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11. Person/entity exercising the right to receive benefits
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12. One who appeals a claim decision
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Answer :

GinnyAnswer
1. Claim status when the payer is developing the claim: **Claim Pending** 2. Document describing a payment resulting from a claim adjudication: **Explanation of Benefits (EOB)** 3. Electronic transaction for payment explanation: **Electronic Remittance Advice (ERA)** 4. States' laws obligating carriers to pay clean claims within a certain time period: **Prompt Payment Laws** 5. Claim status when the payer is waiting for information: **Claim Suspended** 6. Used on an RA to indicate the general type of reason code for an adjustment: **Remark Code** 7. Explain payers' payment decisions: **Remittance Advice (RA)** 8. Software featuring enabling automatic entry of payments on a remittance advice: **Remittance Posting Software** 9. Comparison of two numbers: **Reconciliation** 10. Request for reconsideration of a claim adjudication: **Claim Appeal** 11. Person/entity exercising the right to receive benefits: **Beneficiary** 12. One who appeals a claim decision: **Appellant**

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