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The Value Chain Is the Specific Sequence of Activities That

question 19

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The value chain is the specific sequence of activities that creates goods and services with value for customers.


Definitions:

Claim Denial

Occurs when an insurance company refuses to pay for healthcare services, often due to ineligibility or lack of coverage.

Assignment of Benefits

A formal agreement where a patient allows their health insurance benefits to be paid directly to a healthcare provider.

Healthcare Claims

A request for payment that an individual or healthcare provider submits to a health insurance company after receiving services or products.

Allowed Fee

The maximum charge that an insurance plan agrees to cover for a specific medical service or procedure.

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