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Obtaining Informed Consent May Create Challenges for the Researcher, Such

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Obtaining informed consent may create challenges for the researcher, such as


Definitions:

Third-party Payer

An entity (other than the patient or healthcare provider) that pays for healthcare services, typically an insurance company.

Recovery Audit

The process of reviewing financial transactions and records to ensure compliance with policies and to recover overpayments or incorrect charges.

Underpayment

The act of paying less than what is due for a service, bill, or obligation.

Claim Denial

Occurs when an insurance company refuses to pay for healthcare services, often due to ineligibility or lack of coverage.

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