What is the term for the process of correcting previously submitted claims?

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The process of correcting previously submitted claims is referred to as claim adjustments. This term accurately describes the act of revising or modifying a claim submitted to a payer in order to rectify errors or to update information that may have changed since the original submission. Claim adjustments can include changes to billing codes, quantities, or any necessary clarifications that can help ensure that the claim reflects the services rendered accurately.

Claim reversals, on the other hand, specifically pertain to voiding an entire claim that has already been processed, which is different from simply correcting an error. Each process has its distinct purpose; while reversals completely negate a claim, adjustments allow for corrections without the need to start over.

Claim submissions refer to the original act of submitting claims for payment, which is not related to the corrective nature of the question. Finally, claim finalizations relate to the process of concluding claims once they are processed and do not directly pertain to making corrections on previously submitted claims.

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