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OVERVIEW | Claims Processing, Adjudication & Reconciliation

OVERVIEW | Claims Processing, Adjudication & Reconciliation by coreREADINESS

claims processing, adjudication, reconciliation, insurance claims, prior authorization, claim process, prior auth, insurance claims, APPECommunityPlaylist, APPEAmbulatoryCarePlaylist

February 16, 2021
Introductory
Activity Version: v1.0
This short course provides an overview of the claims processing, adjudication, and reconciliation process in a typical community or retail pharmacy. Course content covers what the claims processing is, what an adjudication is, what a prior authorization is, and how claims are reconciled.



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