MACSIS HIPAA Contracts, Pricing & Adjudication Training
MACSIS HIPAA Contracts, Pricing & Adjudication Training. Introduction. To get a claim paid in Diamond, a claim must be priced and then adjudicated. In order to price a claim, there must be contracts (PROVC) and rates (PROCP) set up for the provider. PROVF PROVC PROVD PROVA PROCP MEDEF.
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