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Simplifying Claims Adjudication
Claims
Dhara Acharya

Simplifying Claims Adjudication

Claims Adjudication – Find here what 4 steps make up the claim adjudication process explained with claims adjudication definition. Know eligibility of patient on the date of services with details and what is remittance in claims adjudication.

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FAQs on No Surprises Act
FAQ
Piyush Kedia

FAQs on No Surprises Act

Get detailed answers to your questions about No Surprises Act. This No Surprises Act FAQ answers all the questions on the subject.

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Patient-Provider Dispute Resolution (PPDR) Process
No Surprises Act
Piyush Kedia

Patient-Provider Dispute Resolution (PPDR) Process

Under the patient-provider dispute resolution (PPDR) process, the uninsured (or self-pay) individual may seek a determination from a Selected Dispute Resolution (SDR) entity for the amount the individual has to pay. Check various items and services eligible for PPDR.

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timeframe for providing Good Faith Estimate
No Surprises Act
Piyush Kedia

Here is the timeframe for providing a Good Faith Estimate

A timeframe for providing good faith estimate (GFE) is a notification that outlines an uninsured (or self-pay) individual’s expected charges for a scheduled or requested item or service. Providers and facilities must follow certain timeframe for providing good faith estimate.

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