Examlex
Identify which of the following statements is true.
Elective Procedure
A medical procedure that is not required to sustain life but is requested for payment to the third-party payer by the patient or physician. Some elective procedures are paid for by third-party payers, whereas others are not.
Predetermination
The act of deciding or establishing something in advance or having a predetermined outcome.
Third-party Payer
An entity (other than the patient or healthcare provider) responsible for paying medical expenses, such as insurance companies.
Medical Billing Programs
Software or systems designed to manage healthcare billing processes, including the submission and tracking of medical claims.
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