Claim processing refers to the insurance company’s procedure to check the claim requests for relevant information, confirmation, explanation, and reliability. Concluding this, the insurance company may repay the plutocrat to the healthcare provider in whole or in part. The company may also decline the claim request, if discovered invalid, forged, duplicated, or outside of the policy terms.
Today, organizations prefer to outsource their claims processing services to acquire access to competent services, focusing more on their core competencies.
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