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It is generally reasonable to accept the claim if it does not conflict with our store of background information and if it comes from a reliable source.
A claim's initial plausibility is a measure of how well it "squares" with our background information and our own observations.
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What are the five steps of the claims adjudication process from the time of initial processing through final payment?
1. Initial procerssing 2. Automated review 3. Evaluation 4. Payment 5. Return to provider
A noun meaning possibility?
chance, danger, feasibillity, likelihood, odds, oppourtunity, plausibility, probability
What is the differences between continuous assessment and continuous testing?
Things, including people, can be assessed without tests.Things, including people, can be assessed without tests.Things, including people, can be assessed without tests.Things, including people, can be assessed without tests.
What is the intersection of the assessed probability and the severity of a hazard called in the CRM process?
The intersection of the assessed probability and severity of a hazard is the Risk Level.
What is the intersection of the assessed probability and severity of a hazard?
It is the risk.
