Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.
Table of Contents
typeflat

Process Group

Claims Management

...

Timely processing of approved modified payment amounts for claims that have been through the claims dispute process.

Input

Output

Task Set

Measurable Outcomes

  • Claim status sent to provider

  • Explanation of Benefits sent to provider and/or beneficiary

Sources