Question

instructions: select the most appropriate response. which does medicaid use to communicate information about claims processing and reimbursement to the provider? a. remittance advice b. explanation of benefits c. assignment of benefits d. claims adjudication

Explanation:

• Remittance advice (a) is used by Medicaid to communicate details about claims processing and reimbursement to the provider. It shows what was paid, denied, etc.
• Explanation of benefits (b) is for the patient, not the provider.
• Assignment of benefits (c) is about a patient assigning payment to a provider, not communication about processing/reimbursement.
• Claims adjudication (d) is the process of determining claim validity, not the communication tool.

Answer:

A. remittance advice