Question

What is the keywords of this definitions:

1. Those claims, without errors, that are accepted for adjudication by payers

2. A code required to specify the patient's relationship to the subscriber when the patient and the subscriber are not the same person

3. A ten-digit number that stands for physician's medical specialty

4. Alternate term for insured/guarantor/policyholder

5. Receives the payment from the insurance carrier

6. An entity or person other than the subscriber or patient who has financial responsibility for the bill

7. The portion of the claim that reports the procedures/services performed for the patient

8. The payer to whom the claim is going to be sent

Answer 1

Q.1 Clean claims are those claims

Q.2 that is individual relationship code

Q.3. that is Taxonomy code

Q.4.that is subsciberin

Q.5 that are capitation payment

Q.6   That is Guarantor

Q.7 that are the CPT codes

Q.8. pay-to-provider