What is a claim adjudication?
Claims adjudication is the process by which insurance companies review healthcare claims and decide whether they will pay the claim in full, pay a partial amount, or deny the claim altogether. If more information is needed, the claim will be rejected and marked as pending.
What are the steps in processing a claim?
Step 1: Reporting the claim\n\n The first step in filing a claim involves reporting the accident to the insurance company.
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