Service Consumption Can Be Divided into What Three Principal Stages

question 24

Essay

Service consumption can be divided into what three principal stages?

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Definitions:

X12 837

A standard format for electronically transmitting healthcare claim information from healthcare providers to payers, such as insurance companies.

Electronic Claim

A request for payment for healthcare services that is submitted electronically to a health insurance provider.

Coordination of Benefits

A legal principle that limits payment by insurance companies to 100% of the cost of covered expenses.

Legal Clauses

Sections of a legal document that specify particular conditions or requirements.