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Multiple Choice

What is the third stage of the life cycle of a claim?

The sequence of a claim’s life cycle follows a typical order: after the claim is submitted to the payer, it goes through adjudication (processing to determine what’s payable) and then payment. Payment is the stage where funds are actually issued to the provider based on the adjudicated amount. Adjustments or denials can occur later if corrections are needed, but the act of paying the claim comes after the processing step. So the third stage is payment.

The sequence of a claim’s life cycle follows a typical order: after the claim is submitted to the payer, it goes through adjudication (processing to determine what’s payable) and then payment. Payment is the stage where funds are actually issued to the provider based on the adjudicated amount. Adjustments or denials can occur later if corrections are needed, but the act of paying the claim comes after the processing step. So the third stage is payment.