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Mathematics with Business Applications5th EditionMcGraw-Hill Education 3,755 solutions What are five reasons a claim might be denied for payment quizlet?incorrect date.. missing date.. diagnosis doesn't support procedure.. coding error.. patient ineligible for services.. claim sent to wrong carrier.. Coding or dates not compatible with documentation.. Is that dollar amount that the policyholder must pay before the insurance company starts to pay for services is the definition of?Deductible - A fixed dollar amount during the benefit period - usually a year - that an insured person pays before the insurer starts to make payments for covered medical services. Plans may have both per individual and family deductibles. Some plans may have separate deductibles for specific services.
Which is the amount for which the patient is financially responsible before an insurance policy?Deductible. The portion of covered charges that an insured must pay before the insurance company will consider payment and before coinsurance goes into effect.
When an insurance company pays an amount that is lower than the usual charge How is the patient's balance due returned to zero?When an insurance company an amount that is lower than the usual charge, how is the patient's balance due returned to zero? Adjustment are subtracted from the patient balance. Credit adjustments include discounts for payment at the time of service professional courtesy, discounts give in specific circumstances.
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What must happen if an insurance check indicates that a payment of zero was made quizlet?
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