Examlex
Which of the following is not one of related sets of the hierarchical model of cognitive abilities?
Claim Submitted
The process of requesting payment from an insurance company for healthcare services provided.
Medicare-Approved Amount
The predetermined cost that Medicare determines as reasonable for a medical service or supply, which sets the limit on what Medicare will pay and what you may be billed.
Ambulatory Payment Classification
A system used by Medicare and other health insurance programs to pay for outpatient services on a fixed rate based on the diagnosis and procedure rather than individual services provided.
Adjudication
The legal process of resolving a dispute or deciding a case.
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