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HCR 230 Week 9 Capstone CheckPoint

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HCR 230 Week 9 Capstone CheckPoint​

Resource: Appendix A, pp. 449–477 in Ch. 14 of Medical Insurance.
 

Refer to Ch. 14 of Medical Insurance and previous assignments from that chapter as a resource.

Create a flow chart using Microsoft® Word illustrating the five steps of the claims adjudication process from the time of initial processing through final payment. Include a brief 250- to 300-word explanation for the following:

·         Identify the purpose for each step in claim adjudication process.

·         Explain the relationship between each of the different steps.

·         Provide a one-sentence summary describing how claims adjudication is important to the medical billing process.
 

Post your flow chart and explanation as an attachment.

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There are five steps that are in the claims adjudication process and these steps consist of the initial process, automated review, manual review, determination and p...
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