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Real-Time Claim Adjudication: Deal or No Deal

Real-Time Claim Adjudication: Deal or No Deal


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This article will discuss one practice’s quest to improve its financial health through implementing a new process called real-time claim adjudication. The article presents actual processes as implemented, describing in detail the “nuts and bolts� from an operations perspective. Finally, the discussion summarizes the many positive impacts the practice has experienced, including obvious financial rewards and unexpected accolades from patients.