Claim adjudication is the payer’s review process for determining whether a claim should be paid, denied, adjusted, or partially reimbursed based on coverage, coding, contract, and policy rules.
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« Back to Glossary Index
Claim adjudication is the payer’s review process for determining whether a claim should be paid, denied, adjusted, or partially reimbursed based on coverage, coding, contract, and policy rules.
« Back to Glossary Index