claim (redirected from claims)

claim,

an itemized statement of services and costs from a health care provider or facility submitted to the insured for payment.

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claim,

n 1. in a juridic sense, a demand of some type made by one person or another.
2. a request for payment under a dental benefits plan.
3. a statement listing services rendered, the dates of services, and itemization of costs. Includes a statement signed by the beneficiary and treating dental professional that services have been rendered. The completed form serves as the basis for payment of benefit.

claim form,

n the form used to file for benefits under a dental benefits program; includes sections for the patient and the dental professional to complete.

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claim

A demand for compensation Managed care A written request by an insured or assignee–eg, provider for payment of benefits covered by an insurance policy; a bill for healthcare service(s) sent by a provider to the Pt's insurance or health plan, which may review the claim for validity before paying benefits. See Aberrant claim, Electronic billing, Unassigned claim Malpractice A formal statement by a plaintiff alleging that a civil wrong has been committed by a defendant. See Cross claim.