Examples of Paid Claim in a sentence
The IRO shall provide its observations and recommendations on suggested improvements to the system(s) and the process(es) that generated the Paid Claim.
For each Paid Claim in the Claims Review Sample that results in an Overpayment, the IRO shall review the system(s) and process(es) that generated the Paid Claim and identify any problems or weaknesses that may have resulted in the identified Overpayments.
If the MMIS provider IDs match, Paid Claim Provider ID equals MAPP Billed Entity MMIS ID (field #67) will be populated with a value of ‘Y’.
If the rate codes match, Paid Claim Rate Code equals MAPP HML Rate Code (field #68) will be populated with a value of ‘Y’.
If the rate codes do not match, Paid Claim Rate Code equals MAPP HML Rate Code (field #68) will be populated with a value of ‘N’.