What is the difference between a denied claim and a disallowance?

What will be an ideal response?


A denied claim is one the carrier received and processed but did not pay due to benefits or coverage issues. Disallowances represent partial payment on claims because they are above the maximum allowable fee.

Health Professions

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________ is used when there is not adequate information to develop an EAR

Fill in the blank(s) with correct word

Health Professions

A(n) ________ case is a manifestation of an infection that is so slight that it is unnoticeable. 

Fill in the blank(s) with the appropriate word(s).

Health Professions

Georgia worries about her 16-year-old daughter, CeCe, developing cervical cancer, because two of Georgia’s friends have had it, and one passed away as a result. Georgia does not believe CeCe has yet become sexually active. What can Georgia do to reduce CeCe’s risk of cervical cancer?

Health Professions

A patient sample comes off an automated cell counter with a failure of the red cell "rule of three." The red count is lower than expected given the hemoglobin

The MCV, MCH, and MCHC are elevated. Which of the following is the most likely reason for this failure? a. Megaloblastic anemia b. Lyse-resistant red cells c. Cold agglutinin d. Lipemia

Health Professions