validate clinical information, including ICD-10 and item codes. Membership Confirmation: Verify membership special pre-authorization requests. Code Accuracy: Ensure the correct coding is applied before approving benefits Medical Schemes Act. Coding Proficiency: Sound knowledge of CPT-4 and ICD-10 codes, with RPL proficiency
validate clinical information, including ICD-10 and item codes. Membership Confirmation: Verify membership special pre-authorization requests. Code Accuracy: Ensure the correct coding is applied before approving benefits Medical Schemes Act. Coding Proficiency: Sound knowledge of CPT-4 and ICD-10 codes, with RPL proficiency