claims review

an evaluation of the appropriateness of a claim for payment for a medical or mental health service rendered. It will consider whether the claimant is eligible for reimbursement, whether the charges are consistent with customary fees or published institutional rates, and whether the service was necessary.

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Psychology term of the day

February 11th 2025

cognitive complexity

the state or quality of a thought process that involves numerous constructs, with many interrelationships among them. Such processing is often experienced as difficult or effortful. See also conceptual complexity.