Billing & Claims第 61 / 100 题
A clearinghouse in the billing workflow functions to:
a.Receive claims from providers, check and format them, then route them to the appropriate payers
b.Set the patient's copayment amounts
c.Provide medical treatment
d.Assign diagnosis codes to encounters
解析
A clearinghouse is an intermediary that accepts electronic claims from providers, scrubs and standardizes them into the required format, and forwards them to the correct payers. It also returns rejection reports so errors can be fixed quickly. Using a clearinghouse streamlines electronic submission to many payers at once.
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