Independent of accounting or billing, claims processing is the part of the revenue cycle where claims for reimbursement sent from a provider to a payer are taken in, verified, and paid (or denied). As the healthcare system continues its transition from a paper-based to a digital system, electronic claims processing has become a much larger component of the industry. Further efficiencies are promised as more and more health data become cloud-based, enabling providers and payers to access the same data instantaneously.
updated October 30, 2012
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