Identify the Choice That Best Completes the Statement or Answers

question 25

Multiple Choice

Identify the choice that best completes the statement or answers the question.
-The phrase "adjudicate a claim" means to

• A)decide if the claim has sufficient information to be paid.
• B)use software to "scrub" the claim for errors.
• C)review the claim for medical necessity.
• D)process the claim for settlement.

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Definitions:

Child Sexual Abuse

The involvement of a child in sexual activity that he or she does not fully comprehend or to which the child is unable to give informed consent.

Risk Factors

are characteristics or conditions that increase the likelihood of developing a disease or injury.

Family Abusers

Individuals who engage in violent or emotionally harmful behaviors towards family members.

Community Integration

The process of enabling individuals or groups to participate fully in the social, economic, and political activities of the society they live in.