Question: Explain the difference between clean, pending, rejected, incomplete, and invalid claims. Discuss specific terms used to describe Medicare claims. Describe basic guidelines for submitting insurance

Explain the difference between clean, pending, rejected, incomplete, and invalid claims.

Discuss specific terms used to describe Medicare claims.

Describe basic guidelines for submitting insurance claims.

Describe why claims are rejected.

List the six basic procedures for transmission of an electronic claim and discuss methods for sending claims.

What payment does a participating provider agree to accept when assignment is accepted in a TRICARE case?

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