Examlex
Which of the following statements is true regarding integrative bargaining?
Third-party Payer
An entity (other than the patient or healthcare provider) that pays for healthcare services, typically an insurance company.
Recovery Audit
The process of reviewing financial transactions and records to ensure compliance with policies and to recover overpayments or incorrect charges.
Underpayment
The act of paying less than what is due for a service, bill, or obligation.
Claim Denial
Occurs when an insurance company refuses to pay for healthcare services, often due to ineligibility or lack of coverage.
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