When a Provider Receives a Partial Payment on a Claim

question 97

Multiple Choice

When a provider receives a partial payment on a claim because the amount billed was in excess of the maximum allowed charge, this is a:

• A) denial.
• B) downcode.
• C) determination.
• D) disallowance.

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Definitions:

Iconic Transfer Rituals

Symbolic rituals through which cultural meanings are transferred onto products or services, usually through advertising or branding.

Separation Rituals

Activities or ceremonies that mark the transition of an individual from one role, status, or phase of life to another.

Divestment Ritual

A divestment ritual involves the symbolic removal of value or identity from an object, often as part of disposing of personal possessions.

Transition-Place

a location or phase that marks the change from one state or condition to another.