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Multiple Choice

Which term is used for a request for payment?

A claim is the formal request for payment you submit to a payer after delivering care. In chiropractic billing, you convert the services into codes (CPT) and diagnoses (ICD-10), include patient and service details, and send this as a claim to the insurer. The provider charge is the amount you bill upfront; the allowed amount is what the payer will recognize for payment based on contracts, and the reimbursement amount is what the payer actually pays after adjustments and patient responsibility. So the term used for requesting payment is a claim.

A claim is the formal request for payment you submit to a payer after delivering care. In chiropractic billing, you convert the services into codes (CPT) and diagnoses (ICD-10), include patient and service details, and send this as a claim to the insurer. The provider charge is the amount you bill upfront; the allowed amount is what the payer will recognize for payment based on contracts, and the reimbursement amount is what the payer actually pays after adjustments and patient responsibility. So the term used for requesting payment is a claim.