How to Improve the Claims Adjudication Process
January 23, 2023 ⚊ 1 Min read ⚊ Views 67 ⚊ TECH
Most use traditional claims management systems that aren’t only inappropriate as wellas an expensive option for managing complex multi-source data but also complicate thecommunication between the payers and providers. That’s why Claims Adjudication Software isgaining so much consideration.What is the Claims adjudication process?When the health care claim is submitted, the insurance companies go through the necessarydetails to decide whether they are responsible to pay the payments or not. This whole processis called as Claims adjudication process. Based on their judgments, the insurance companydetermines to reject the claim, pay the claim in full or pay the specific portion of the claim.
Tags: Claims Adjudication, Health Claims Software
