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Approved Charges
The amounts pre-determined by insurance providers as the maximum they will pay for a covered service or procedure.
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.
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