Healthcare IT Terms

Claim Denial
  1. Healthcare IT Terms
  2. Claim Denial

What is Claim Denial?

Claim denial refers to the refusal by a carrier to process a claim request by an individual to pay for healthcare services.

Capitation
Care Coordination
Care Management Data
Case Mix Index (CMI)
Catastrophic Health Plan
Centers for Medicare and Medicaid Services (CMS)
Certificate of Need (CON)
Certified Application Counselor
Certified Health Data Analyst (CHDA)
Certified in Healthcare Privacy and Security (CHPS)
Charge Entry
Chargemaster
Chief Digital Officer
Chief Information Officer (CIO)
Chief Medical Informatics Officer (CMIO)
Chief Nursing Informatics Officer (CNIO)
Children's Health Insurance Program (CHIP)
Civilian Health and Medical Program of the Uniformed Servicess
Claim Adjustment Group Codes
Claim Adjustment Reason Codes (CARCs)
Claim Denial
Claim Preparation
Claim Scrubbing
Claim Submission
Claims Data
Clearing Houses
Clinical Applications Analyst
Clinical Archive
Clinical Coder
Clinical Data Repository (CDR)
Clinical Decision Support Systems (CDSS)
Clinical Document Architecture (CDA)
Clinical Documentatiton Improvement (CDI)
Clinical Encounter
Clinical Pathway
Clinical Trials
Cloud-Based EHRs
CMS-1500 02/12 Form
Cognitive Computing
Coinsurance
Common Working File (CWF)
Community Mental Health Centers (CMHCs)
Community Rating
Competitive Bidding
Computer-Assisted Coding (CAC)
Computerized Provider Order Entry (CPOE)
Concierge Medicine
Connected Health
Consolidated Clinical Document Architecture (C-CDA)
Consolidated Health Informatics (CHI) Initiative
Continuity of Care
Continuity of Care Record (CCR)
Conversion
Copayment
Cost Accounting Systems
Cost-Sharing Reduction
Creditable Coverage
Critical Access Hospitals (CAHs)
Current Procedural Terminology (CPT)

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