Scan QR code or get instant email to install app
Question:
Adjudication is the term used for the process by which claims are rejected or paid. This is part of the third-party payor process.
Adjudication is the process of reviewing and evaluating an insurance claim to determine whether it is covered under the policy and the amount of benefits to be paid. The insurance company will review all of the information submitted by the patient and provider, including the medical records, to make a decision.
Comments