________ Is the Processing of a Claim by the Health

question 27

Multiple Choice

________ is the processing of a claim by the health plan.

• A) Adjudication
• B) Explanation of benefits
• C) Administration of benefits
• D) Remittance advice
• E) Billing service

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Definitions:

Supply-Chain Manager

A professional responsible for overseeing and managing a company's end-to-end supply chain processes, from procurement of materials to delivery of final products.

Boundary-Spanning

Activities performed by individuals or groups that involve interactions outside the immediate organization to obtain information or resources.

Production

The process of combining various material inputs and immaterial inputs (plans, know-how) to make something for consumption, encompassing both goods and services.

Service

Activities or benefits provided by one entity to another which do not result in the ownership of anything.