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29-05-2024
Health

Answered

In a claims adjudication process, a claim is compared to payer edits and the patient's health plan benefits to verify information. Which of the following is incorrect about information reviewed during this process?
a. If the patient paid their deductible to the provider.
b. If the information required to process the claim is available.
c. If the procedures performed are a covered benefit.
d. If the claim is not a duplicate.

Answer :

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