Submit Healthcare Claim

Type: Process
Status: Planned
Industry Sector: Healthcare

Description:

Submission of a healthcare claim for reimbursement to an insurer or third-party payer.

Parent Process: Manage Healthcare Claim

Subprocesses:

None

Served by Application(s):

Revenue Cycle Management System

Realizes Capabilities:

Healthcare Claims Management
Medical Billing Management

Uses Information Object(s):

Patient
Procedure Code
Diagnosis
Invoice
Coverage Eligibility Verification
Prior Authorization

Performed by Role(s):

Revenue Cycle Specialist

Triggers Process(es):

None

Planned Manage Healthcare Claim Healthcare Healthcare Claims ManagementMedical Billing Management Revenue Cycle Specialist

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