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Case Study: Managing Claims Not on File

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    Case Study: Managing Claims Not on File
   
 
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     Dec 18, 2024 07:45am
    The claims processor ensures accurate and timely claim resolution by verifying submission details (address, payer ID, fax appropriateness), confirming enrollee eligibility and membership in the payer’s system, adhering to filing deadlines, and validating patient ID and group number accuracy.