adjusted claim

ad·just·ed claim

(ă-jŭstĕd klām)
Additional payment to a health care provider based on modification of claim reimbursement.
References in periodicals archive ?
When an adjustment resulted in a greater expense, auditors said, the state often sought reimbursement at the temporarily higher percentage for the entire adjusted claim, when that higher rate should only have applied to the increased amount over the original claim.
The Pharmacy Services segment is projected to see a top-line gain of 8% to 9%, based on total adjusted claims of 1.
It is now updating its prior 2016 total adjusted claims guidance from a range of 1,265m to 1,280m to a range of 1,400m to 1,415m.
8 million; converting 90-day scripts to 30-day equivalents, total adjusted claims increased 19.