13,147 views
26 votes
26 votes
The process used by health plans to determine the amount of payment for

a claim is called
Answer

User Jaakko Luttinen
by
2.5k points

1 Answer

13 votes
13 votes

Answer:

Adjudication. term used by the insurance industry and refers to the process of paying, denying, and adjusting claims based on the patient's healthcare insurance coverage benefits.

Step-by-step explanation:

User Pieter Van Niekerk
by
3.4k points