Page 5 - C.Journal 4th edition

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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