Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases (such as moderate allergic reactions), some autoimmune diseases, and (at higher doses) some types of cancer, but it has significant adverse effects.
denial of claim. DEFINITION: Denial of claim is the refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for health care services obtained from a health care professional.
Denial management is the catch-all phrase for any process that practices hope can lead to cleaner claims and fewer denials from insurers. Experts say denial management can be part of an entire electronic medical record/billing system, or it can be a bolt-on to an existing system. It can be a Web-based system that reviews claims. It can also be a manual, retroactive review of denied claims.