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hello this is dr eric bricker and thank you for watching a health care z todays topic is health insurance claim repricing and todays video is a continuation of the claims adjudication video that i made yesterday and ill leave a link to that in the show notes now what is claims repricing it is the application of the contract terms to the billed charges contract terms for whom between the hospital or the physician practice and the insurance network and then the build charges are from again the hospital system or the physician group now let me show you this pictorially that may help so here you have a claim and believe it or not when i got started in the late 90s they were still using paper claims a little you used to look at eight and a half by eleven sheet of paper okay it is then sent to the health insurance company it is then adjudicated right in the previous video we talked about okay is the person eligible is the service eligible is it a covered service is it too late for timely
