17:57 Feb 20, 2024 |
English to Russian translations [PRO] Medical - Medical: Pharmaceuticals | |||||||
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| Selected response from: Alexander Elizarov Kazakhstan Local time: 18:23 | ||||||
Grading comment
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Summary of answers provided | ||||
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3 +1 | отказ в страховом возмещении по обращению в целом |
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отказ в страховом возмещении по обращению в целом Explanation: Denial of the entire claim is considered a claim-level denial. For many hospitals, this type of problem accounts for the majority of Medicare and Medicaid denials and typically results from inaccuracies related to patient registration, late-charge management, duplicate billing, production of medical information for external review, and/or physicians’ ordering practices. Common denial types include the following: > The patient was not identified as insured > The claim submitted was a duplicate > The services were deemed by the payer as not medically necessary > The charges for outpatient services were in proximity to inpatient services > The patient’s date of death preceded the date of service Reference: http://www.insuranceclaimdenialappeal.com/2010/07/dispute-in... |
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