How do you process a claim?

How do you process a claim?

What happens to a claim after it gets submitted? Step 1: Submission. … Step 2: Initial review. … Step 3: Eligibility. … Step 4: Network. … Step 5: Repricing. … Step 6: Benefits adjudication. … Step 7: Medical necessity review. … Step 8: Risk review. More items… • Oct 1, 2021

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