Aberrant Claim

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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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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.