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Healthcare Insurance Audits: What Providers Need to Know
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Why is the insurance company investigating me? Do you also have the same question? Let’s understand what is investigation in health insurance first: A health insurance claim investigation is a process where the insurance company examines the authenticity and details of a claim before approving it. Now, let’s understand non-admissible claim: It refers to a claim that doesn’t meet the policy’s terms and conditions, leading to partial or complete denial. Even in such cases, an insurance company mig
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