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Health plans often program into their claims processing systems certain criteria that, if unmet, will...

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Health plans often program into their claims processing systems certain criteria that, if unmet, will prompt further investigation of a claim. In an automated claims processing system, these criteria may signal the need for further review when, for example

A.

Encounter reports

B.

Diagnostic codes

C.

Durational ratings

D.

Edits

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AHIP AHM-250 Summary

  • Vendor: AHIP
  • Product: AHM-250
  • Update on: Jul 25, 2025
  • Questions: 367
Price: $52.5  $149.99
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TESTED 01 Aug 2025