A Claim That Is Removed from a Payer's Automated Processing

question 67

Multiple Choice

A claim that is removed from a payer's automated processing system for additional review is subject to:

• A) preauthorization.
• B) manual review.
• C) medical-necessity examination.
• D) claims edit.

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Definitions:

Feature Detection

The process by which the brain identifies specific elements of visuals, like shapes or angles, important in recognizing objects and patterns.

Opponent Processing

A theory describing how the human visual system interprets color by processing signals from cones and rods in an antagonistic manner.

Accommodation

In cognitive psychology, the process by which individuals adjust their schemas (mental models) to incorporate new information.

Feature Detectors

Feature detectors are specialized brain cells that identify specific elements in the visual field, like shapes, angles, or movements.