Examlex
All profit-maximizing firms chose the level of output at which:
Claim Submitted
The process of requesting payment from an insurance company for healthcare services provided.
Medicare-Approved Amount
The predetermined cost that Medicare determines as reasonable for a medical service or supply, which sets the limit on what Medicare will pay and what you may be billed.
Ambulatory Payment Classification
A system used by Medicare and other health insurance programs to pay for outpatient services on a fixed rate based on the diagnosis and procedure rather than individual services provided.
Adjudication
The legal process of resolving a dispute or deciding a case.
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