Page 4 - C.Journal 4th edition
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Claims Journal 4th Edition                                                                                                                                                          Claims Journal 4th Edition

















                                                                                                                                   Preface









                                                                                                                                       It`s a quarterly bulletin where all aspects of the claims department can
                                                                                                                                       be discussed, that include adjudication approaches, quality check de-
                                                                                                                                       tails, fraud actions, case scenarios etc.


                                                                                                                                       It is A Rallying Point For Ideas, Tips and Modifications, Which Can
                                                                                                                                       Be Encountered During Adjudications That Can Impact Our Quality,
                                                                                                                                       So Please be with us



                                                                                                                                                                                     Contents






                                                                                                                                                                                         One point lesson (O.P.L).

                                                                                                                                                                                         Most common QC Mistakes.

                                                                                                                                                                                         Healthy Tips.

                                                                                                                                                                                         Medical Whisper.

                                                                                                                                                                                         C.M.E

                                                                                                                                                                                         Guest Corner.

                                                                                                                                                                                         Fraud Detector.

                                                                                                                                                                                         Technical Corner.

                                                                                                                                                                                         Claims Channel.

                                                                                                                                                                                         Share with us.










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