When a Provider Receives a Partial Payment on a Claim

question 97

Multiple Choice

When a provider receives a partial payment on a claim because the amount billed was in excess of the maximum allowed charge, this is a:

• A) denial.
• B) downcode.
• C) determination.
• D) disallowance.

---

Definitions:

Technological Prowess

Technological prowess refers to the superior skill or expertise in the development and application of technology, often driving innovation and competitiveness.

Generativity

A stage of psychosocial development in adulthood, where individuals focus on nurturing the next generation and contributing to society.

Stagnation

A period or state of inactivity or lack of growth in personal, economic, or societal aspects.

Ego Integrity

A sense of completeness and cohesion of the self, often achieved in later adulthood, as described by Erikson's stages of psychosocial development.