Hfma 2 qa 2024 - Study guides, Class notes & Summaries

HFMA 2 Questions and Correct Solutions 2024 Describe the paper and electronic claims flow process. - Answer -1. Electronic Claim Submission= EDI claims forwarded to either directly or via EDI clearing house/ vendor. 2. Claims Verification= Clearinghouse specifications and insurance company requirements used to validate transmitted claims. 3. Rejected Claims = Claims not meeting requirements returned via clearinghouse error report. 4. Accepted claims= sent to insurance company for provider...