When a patient presents an insurance card, the information is entered into the computer, and a claim is sent to the insurance company for payment or rejection. The process of the insurance company accepting or rejecting a claim is called `____`.

A adjudication

explanation

The process by which claims are rejected or paid is called adjudication. This is part of the third party payor process.

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Comments

A M.T

2 years ago

Very nice to learn and understand

adetter04

2 years ago

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Lorna Wilson

2 years ago

Love it. Because its repeating makes it easy to remember

When a patient presents an insurance card, the information is entered into the computer, and a claim is sent to the insurance company for payment or rejection. The process of the insurance company accepting or rejecting a claim is called ____.