Creating a Professional DDE Claim

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In this module, you will learn how to create a Professional DDE claim online and enter the necessary insurance information before submitting the claim. You will also learn how to upload supporting documents for a claim that is already submitted and take its printout for your reference.

Understanding the Different Sections of a DDE Claim Form

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In this module, you will be introduced to the different sections of a claim. You will identify the critical components that constitute these sections and the essential information that is required to complete a claim document.

Entities Involved in Claims and Encounters: An Overview

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In this module, you will be introduced to the different entities involved in claims and encounters. You will also understand the role played by each of the entities in the processing and administration of claims and identify the important user profiles that are associated with these entities.

Introduction to Claims and Encounters

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In this module, you will be introduced to the components of the Claims and Encounter subsystem of PRISM and identify the role of each of the components in claims processing. You will also identify the adjudication process and learn about the integration of the Claims and Encounter subsystem with other PRISM subsystems such as Contracts Management, Provider, and Benefits Administration.