What is the term for the submission of an insurance claim to a third party payer and the follow-up on payment?

Disable ads (and more) with a premium pass for a one time $4.99 payment

Prepare for the HOSA Health Informatics Test. Utilize flashcards and multiple-choice questions, each accompanied by hints and explanations. Get exam-ready today!

The term for the submission of an insurance claim to a third party payer and the follow-up on payment is claims processing and management. This process involves several key actions: preparing and submitting claims for reimbursement, ensuring that all necessary documentation is included, and following up with the payer to track the status of the claim. Effective claims processing and management is crucial in the healthcare industry, as it directly affects the revenue cycle of healthcare providers. By efficiently managing this process, organizations can minimize delays in payment and reduce the likelihood of denied claims, ultimately ensuring that they receive timely reimbursement for services rendered.

The other options do not pertain to the specifics of submitting and managing insurance claims. Business intelligence relates to data analysis and decision-making processes, channels typically refer to means of distribution or communication, and clickers often pertain to audience response systems rather than claims processing.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy