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Friday, April 2, 2010. Claim Processing is a multi-step process of processing the claim submitted by the Provider or the Beneficiary. Two ways to submit a claim:. Entered manually into system). For Hard Copy format: Image of hard copy format is captured for audit and archival purpose using imaging, micro-filming or intelligent character recognition (ICR/OCR); assigns a control number to each claim; claim information is manually entered or using ICR technology; then claims is submitted to the shared system.

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Friday, April 2, 2010. Claim Processing is a multi-step process of processing the claim submitted by the Provider or the Beneficiary. Two ways to submit a claim:. Entered manually into system). For Hard Copy format: Image of hard copy format is captured for audit and archival purpose using imaging, micro-filming or intelligent character recognition (ICR/OCR); assigns a control number to each claim; claim information is manually entered or using ICR technology; then claims is submitted to the shared system.

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Business Analyst | ba-guru.blogspot.com Reviews

https://ba-guru.blogspot.com

Friday, April 2, 2010. Claim Processing is a multi-step process of processing the claim submitted by the Provider or the Beneficiary. Two ways to submit a claim:. Entered manually into system). For Hard Copy format: Image of hard copy format is captured for audit and archival purpose using imaging, micro-filming or intelligent character recognition (ICR/OCR); assigns a control number to each claim; claim information is manually entered or using ICR technology; then claims is submitted to the shared system.

INTERNAL PAGES

ba-guru.blogspot.com

1

Business Analyst: Claim Processing

http://ba-guru.blogspot.com/2010/04/claim-processing.html

Friday, April 2, 2010. Claim Processing is a multi-step process of processing the claim submitted by the Provider or the Beneficiary. Two ways to submit a claim:. Entered manually into system). For Hard Copy format: Image of hard copy format is captured for audit and archival purpose using imaging, micro-filming or intelligent character recognition (ICR/OCR); assigns a control number to each claim; claim information is manually entered or using ICR technology; then claims is submitted to the shared system.

2

Business Analyst: HIPAA Modification Rule

http://ba-guru.blogspot.com/2010/03/hipaa-modification-rule.html

Sunday, March 28, 2010. 1 What was adopted under the HIPAA Modifications. Rule Version 5010 of the X12 standards suite of administrative transactions. Version D.0 of the NCPDP suite for retail pharmacy. Version 3.0 of the NCPDP Suite for Medicaid pharmacy subrogation. Version D.0 orVersion 5010 for retail pharmacy supplies and services, based on trading partner agreements. 2 Why Version 5010? Version 4010 is outdated:. Many situational and required rules did not fit business practices of the industry.

3

Business Analyst: RUP

http://ba-guru.blogspot.com/2009/03/rup_07.html

Saturday, March 7, 2009. In this phase the business case which includes business context, success factors (expected revenue, market recognition, etc), and financial forecast is established. To complement the business case, a basic use case model, project plan, initial risk assessment and project description (the core project requirements, constraints and key features) are generated. After these are completed, the project is checked against the following criteria:. If the project cannot pass this mileston...

4

Business Analyst: JAD

http://ba-guru.blogspot.com/2009/03/jad.html

Saturday, March 7, 2009. The Joint Application Development (JAD) methodology aims to involve the client in the design and development of an application. This is accomplished through a series of collaborative workshops called JAD sessions. Rapid application development (RAD), a variation on JAD, attempts to create an application more quickly through strategies that include fewer formal methodologies and reusing software components. Key participants of JAD session:. 8226; Executive Sponsor. 8226; Identify ...

5

Business Analyst: RAD

http://ba-guru.blogspot.com/2009/03/rad.html

Saturday, March 7, 2009. The perceived slowness and inflexibility of the Waterfall SDLC method led to the development of a method that reacted quickly to change and adapted to changing conditions: a normal state of affairs in the fast-moving IT industry. Where the Waterfall model would slowly chug forward, the market or technologies would change under its feet: sometimes by the time software was released, it was already out of date, irrelevant or incompatible with new industry standards. 8226; A rigidly ...

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Friday, April 2, 2010. Claim Processing is a multi-step process of processing the claim submitted by the Provider or the Beneficiary. Two ways to submit a claim:. Entered manually into system). For Hard Copy format: Image of hard copy format is captured for audit and archival purpose using imaging, micro-filming or intelligent character recognition (ICR/OCR); assigns a control number to each claim; claim information is manually entered or using ICR technology; then claims is submitted to the shared system.

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