2. the payment a health care provider receives from a third party payer is aa. group policy. b. reimbursement. c. co-payment. d. claim.

D) Claim

Explanation:

A claim is a formal request by a policyholder to an insurance company for coverage or compensation for a covered loss or policy event. The insurance company validates the claim and, once approved, issues payment to the insured or an approved interested party on behalf of the insured.

Insurance claims cover everything from death benefits on life insurance policies to routine and comprehensive medical exams. In many cases, third-parties file claims on behalf of the insured person, but usually, only the person(s) listed on the policy is entitled to claim payments.

Medicare defines a clean claim as one which has no defect, impropriety or special circumstance, including incomplete documentation that delays timely payment.

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