Which Involves Comparing the Claim to Payer Edits and the Patient's

question 35

Multiple Choice

Which involves comparing the claim to payer edits and the patient's health plan benefits to verify that the required information is available to process the claim, the claim is not a duplicate, payer rules and procedures have been followed, and procedures performed or services provided are covered benefits?

• A) claims adjudication
• B) claims payment
• C) claims processing
• D) claims submission

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Definitions:

Tituba

The first woman accused of practicing witchcraft during the Salem Witch Trials of 1692.

Colonial Autonomy

Colonial autonomy entails a degree of self-governance granted to colonies, allowing them to manage their internal affairs while remaining under the control of the colonial power, often as a step towards full independence.

Navigation Acts

The Navigation Acts were a series of laws enacted by the British Parliament in the 17th and 18th centuries, intended to promote British maritime trade and restrict foreign access to British colonies.

Dominion of New England

A merging of British colonies in North America from 1686 until 1689 under a single governor, aimed at bolstering colonial defense and streamlining administration.