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a claim needs to be submitted for john fitzwilliam. how would you select only those claim...

a claim needs to be submitted for john fitzwilliam. how would you select only those claim pertaining to john fitzwilliams?

If an error is found on a claim , how is it corrected ?

What is meant by a “clean claim” ?

What is HIPAA X12 837?
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Answer #1

# The claims that are appropriate to John Fitzwilliam will be selected by assessing the following factors :-

- age of John

- income of John

- disease condition

- any procedures done

- the type of health care services provided to John

# If an error is found on a claim ,then correction is done after a thorough analysis and is double verified and send again to the third party payer for the payment, because medical insurance are there to help the patients to pay the fees of the healthcare services they took in the hospital .

# Clean claim is defined as a claim which has no defect , improperity or special circumstance including incomplete documentation that delays timely payment.

# HIPAA X12 837 - is a transaction set developed to meet HIPAA requirements for the electronic submission of healthcare claim information.

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