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Enterprise Resource Planning Systems

question 23

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Enterprise resource planning systems:


Definitions:

Medicaid Claim

A request for payment that healthcare providers submit to Medicaid for covered services provided to enrolled members.

Medicare Preauthorization

The requirement of obtaining approval from Medicare before it will cover certain prescribed medications or procedures.

Diabetic Patient

A diabetic patient is a person diagnosed with diabetes, a chronic condition characterized by high levels of glucose in the blood.

Deductible

The amount paid out of pocket by the policyholder before an insurance company will cover the remaining costs attributed to a claim.

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