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Coyotes cannot learn to stop attacking sheep even if farmers shoot and kill many of them. However, if the coyotes are allowed to eat a poisoned sheep carcass that makes them sick, they will quickly learn not to eat sheep anymore. This is an example of:
Claim Denial
Occurs when an insurance company refuses to pay for healthcare services, often due to ineligibility or lack of coverage.
Assignment of Benefits
A formal agreement where a patient allows their health insurance benefits to be paid directly to a healthcare provider.
Healthcare Claims
A request for payment that an individual or healthcare provider submits to a health insurance company after receiving services or products.
Allowed Fee
The maximum charge that an insurance plan agrees to cover for a specific medical service or procedure.
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