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You are in charge of paying claims submitted by providers. You notice a certain diagnostic provider ("Doe Diagnostics") requested a substantial payment for a large number of members. Many of these claims are for a certain procedure. You review the same type of procedure for other diagnostic providers and realize Doe Diagnostics' claims far exceed any other provider you reviewed. What should you do?

Respuesta :

Answer:Consult with your immediate supervisor for next steps or contact the compliance department

Explanation:

Certain careful checks are really important in organization handling payments and documentation for the public and private sector, as many firms don't and won't want to follow the right procedure and doing so puts your own organization to the risk of it. It's better they are carefully observed and actions followed up immediately by contacting either your supervisor or reporting to the authorities.

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