________ Encapsulate the Knowledge of Human Experts in the Form

question 3

Multiple Choice

________ encapsulate the knowledge of human experts in the form of if-then rules.

• A) Data mining systems
• B) Expert systems
• C) Business intelligence applications
• D) Reporting systems
• E) CRM systems

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Definitions:

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.

Third-Party Reimbursers

Entities that provide payment for healthcare services on behalf of beneficiaries, such as insurance companies.

Third-Party Reimbursement

A payment system where an outside entity (the third party), not the patient nor the healthcare provider, pays for healthcare services.

Claim Form

is a document filled out to request payment or compensation from insurance for healthcare services received.