Essays Tagged: "Explanation of Benefits"

5 steps to the Adjudication Process

statement of whether or not the claim was denied or approved. If denied, the insurer has to send an explanation of the reason why it was denied it is a regional law for them to do so. An explanation o ... ch service that was settled that is mentioned in the claim.Payment is sent with a remittance advice/explanation of benefits (RA/EOB): As a result to the adjudication, the insurance company may only pa ...

(2 pages) 1 0 0.0 Aug/2014

Subjects: Humanities Essays > Health & Medicine