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For a binomial probability distribution,the probability of success must always be greater than the probability of failure.
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.
Assignment of Benefits
A formal agreement where a patient allows their health insurance benefits to be paid directly to a healthcare provider.
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