When the payer gets a claim, it is sent out electronically to the sender showing that the process has been complete. Each claim then goes through what is called adjudication which is made up of five steps intended to evaluate how each claim should be paid. The first step is the initial processing in which each claim's information is reviewed by the payer's front-end claims processing system. If any errors are found, claims are denied, and the payer sends orders to the provider to fix any errors and/or information excluded and to resubmit for rebilling of the service. The second step is the automated review in which the payers' computer systems make any changes that indicate a medical provider's payment policies. The third step is the manual review in which if any problems have...