Nonfinancial Evaluation Criteria May Include Risk Tolerances, Potential Market Development

question 82

True/False

Nonfinancial evaluation criteria may include risk tolerances, potential market development options, or political reasons.

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Definitions:

Insurance Adjustment

The process by which insurance claims are reviewed and settled, including the calculation of reimbursement amounts.

Secondary Insurance

Exists when a patient is covered under more than one insurance plan; charges are first submitted to the primary carrier, and any charges not covered are then submitted to the secondary carrier.

Error on Claim Form

An error on a claim form refers to mistakes or inaccuracies found on insurance claim documents, which can lead to delays or denials in payment.