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TPA System Flow Chart

TPA System Flow Chart

Review CodingReview PricingNegotiate with ProviderSingle Patient AgreementResults to TPAReport to TPATPA Decides to PayTPA Denies ClaimProvider Appeals 1Medical Necessity MetDr. Richards ReviewProvider Appeals 2TPA Decides to PayDr. Richards ReviewProvider Appeals 3TPA Decides to PayDr. Richards ReviewMember is Balance Billed
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publish time: 2021-02-10
wpike

Here is a flowchart about the TPA business process. When the code report to TPA, the system will review the pricing and negotiate with the provider, then go to the patient, and finally produce the result of TPA. A flowchart is a diagrammatic representation of a process or workflow. This can be to represent an algorithm or showcase steps on how to solve a task. As any flowchart example will show, steps are usually boxes of different that are put in order and connected with arrows in between. Check more details in this diagram or explore this template gallery.

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