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IN ORDERED TO HAVE CLAIMS PAID AS QUICKLY AS POSSIBLE, THE INSURANCE SPECIALIST MUST BE FAMILIAR WITH WHICH OF THE FOLLOWING

A-AUTOMATED CLAIMS STATUS REQUEST
B-CLEARINGHOUSE PROCESSIGN PROCEDURES
C-PROMPT PAY LAWS
D-PAYERS CLAIM PROCESSING PROCEDURES

1 Answer

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Final Answer:

In order to have claims paid as quickly as possible, the insurance specialist must be familiar with D - Payers' claim processing procedures.

Step-by-step explanation:

To expedite the processing of insurance claims, it is crucial for an insurance specialist to be well-versed in the specific procedures and requirements of the insurance providers or payers. This involves understanding how each payer processes claims, including their documentation, submission, and approval processes.

While options A and B (automated claims status request and clearinghouse processing procedures) are relevant to the overall claims process, option D (payers' claim processing procedures) is more directly associated with the specific steps and protocols that individual insurance companies follow. By being knowledgeable about these procedures, an insurance specialist can navigate the system more efficiently, increasing the likelihood of prompt claims approval and payment. Therefore, a strong understanding of payers' claim processing procedures is a key factor in optimizing the speed of claims payment.
The correct option is d.

User Mark Giaconia
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