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Aberrant Claim
(redirected from Aberrant Claims)

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Aberrant Claim
A medical claim submitted by a physician or other health care provider for reimbursement from third-party payers, that may be financially abusive or fraudulent


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While this resulted in an operating loss at the time, it provided us with considerable balance sheet strength so that future performance would not be affected by recession-induced aberrant claims patterns.
Highmark also reduced the time necessary to identify fraudulent claims by comparing aberrant claims data with that of peers, reducing the number of post-payment fraud investigations and the cost to dispute them.
Our claims staff repeatedly acknowledged that Payment Optimizer helped to identify aberrant claims that would have otherwise gone undetected," said Greene.
 
 
 
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