Examlex
A shortage occurs when:
Claims Electronically
The submission of insurance claims or healthcare billing information using electronic systems.
Claims Manually
The process of submitting and processing insurance claims by hand or without the aid of automated systems.
Explanation of Benefits (EOB)
A printed description of the benefits provided by the insurer to the beneficiary; provides information to the patient about how an insurance claim from a health provider (such as a physician or hospital) was paid on his or her behalf.
Not Allowed Amount
The portion of a bill or charge that is not covered by insurance and is not the responsibility of the patient or client.
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