In claims administration terminology, a claims investigation is correctly defined as the process of
A.
reporting management information about services provided each time a patient visits a provider for purposes of analyzing utilization and provider practice patterns
B.
obtaining all the information necessary to determine the appropriate amount to pay on a given claim
C.
routinely reviewing and processing a claim for either payment or denial
D.
assigning to each diagnosis or treatment reported on a claim special codes that briefly and specifically describe each diagnosis and treatment
Chosen Answer:
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