Thursday, November 17, 2016

What is a Claim in Health Insurance?


In Health Insurance,  a Claim is a documentary evidence that medical services were provided.  A claim is made when a patient receives some medical treatments from a doctor or a hospital or a clinic. If the patient has medical insurance,  the medical service provider or the patient submits a claim to the insurance carrier for reimbursement.

In the insurance world, doctors, hospitals, clinics etc. are known as Providers and  a patient is known as a subscriber/member?

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