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The Nonbinding, Informal Process in Which a Third Party Is

question 27

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The nonbinding, informal process in which a third party is selected by the disputing parties to attempt to help them reach a mutually acceptable agreement is known as:


Definitions:

CMS-1500 Form

A standard form used by healthcare providers to submit insurance claims to Medicare and other health insurance providers.

Authorized Person's Signature

The signature of an individual who has been officially empowered to perform a particular action or represent a certain authority.

Administrative Simplification Compliance Act (ASCA)

Identifies limited situations where paper claim forms may be submitted for payment (rather than electronic submission); signed into law on December 27, 2001, as Public Law 107-105.

CMS-1500

A standard form used in the United States to submit healthcare claims to Medicare and Medicaid, as well as many private insurers and managed care organizations.

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