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PB claims 2023 Re-cert Questions With Complete Solutions
- Exam (elaborations) • 37 pages • 2023
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When multiple restrictions are selected in a single column, correct answer: there is an OR relationship 
between those choices. 
 
If two payers are selected, charges will be pulled into the claim run if they are assigned 
to either payer. 
 
When restrictions are listed across the columns, there is an AND condition between those 
restrictions. correct answer: If a payer restriction is listed and a location restriction is listed, charges will be pulled 
into the claim run if the charge is assi...
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