When a Carrier Denies a Claim Because It Determines That

question 69

Short Answer

When a carrier denies a claim because it determines that another carrier should be the primary payer, ________ of benefits is needed to determine the responsibility of each payer.

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Definitions:

Partial Reinforcement

A conditioning principle where only some of the responses made are followed by reinforcement, leading to more resistant behavior to extinction.

Unpredictable Number

A number whose value cannot be anticipated or determined due to its random or variable nature.

Variable-Ratio Schedule

In operant conditioning, a reinforcement schedule that reinforces a response after an unpredictable number of responses.

Intermittent Reinforcement

A learning process in which a response is rewarded only part of the time, leading to more resilient behaviors.