Processing the claim for payment third party payers

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In addition to processing the claim for payment third party payers prepare an explanation of benefits that is delivered to the patient. the EOB is a statement that describes services delivered , charges covered, reimbursement made, and benefit limits and denials. Specifically for Medicare patients MACs prepare Medicare summery notices (MSNs). the MSN details ampunt billed by the provider , amounts approved by medicare, how much medicare reimburses the provider and what the patient must pay the provider by way of deductible and copayments. Appendix F at the back of this text provides a sample MSN. EOBs and MSNs are part of the transactions rule and are sent to the patient via postal mail.

Reference no: EM133877955

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Processing the claim for payment third party payers : In addition to processing the claim for payment third party payers prepare an explanation of benefits that is delivered to the patient.
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