Claim in Medical Billing
A claim in medical billing is a formal request for payment submitted to an insurance company for services provided to a patient.
Claim in Medical Billing Explained
A medical claim is submitted by healthcare providers to insurance companies to request reimbursement for services rendered. The claim includes details such as patient information, diagnosis codes, procedure codes, and costs. Claims are essential for providers to receive payment from insurers and often go through several steps of review, adjudication, and approval.
For example, a hospital submits a claim to the patient’s insurance company for an emergency room visit, including the treatment and tests provided.
Learn more about common acronyms and abbreviations in Medical billing glossary.
-
Years in Business
-
Social Signals
