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AHIP Exam AHM-250 Topic 3 Question 109 Discussion

Actual exam question for AHIP's AHM-250 exam
Question #: 109
Topic #: 3
[All AHM-250 Questions]

Health plans often program into their claims processing systems certain criteria that, if unmet, will prompt further investigation of a claim. In an automated claims processing system, these criteria may signal the need for further review when, for example

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Suggested Answer: D

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Reed
4 days ago
I believe it could also be D) Edits, as they can trigger a review process.
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Stefanie
6 days ago
I agree with Shay, diagnostic codes are crucial for further investigation.
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Shay
10 days ago
I think the answer is B) Diagnostic codes.
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