claim


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claim

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

claim

As defined by the MDU (Medical Defence Union), the largest carrier for medical indemnity insurance in the UK, a claim is:
(i) a demand for, or an assertion of a right to, compensation or damages; or
(ii) an intimation of an intention to seek compensation or damages.

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.

claim

(clām)
A statement from a patient or health care provider presented to an insurance company or HMO for payment for services performed.

claim

(clām)
A statement from a patient of a health care provider presented to an insurance company or HMO for payment.

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.
References in periodicals archive ?
Nearly two-thirds of carriers' personnel are involved in some aspect of claims processing; claims payouts consume almost 80% of a property/casualty company's annual revenue.
Whether a distribution to a claimant is includible in the claimant's gross income is generally determined by reference to the claim in respect of which the distribution is made and as if the distribution were made directly by the transferor.
General Counsel Memorandum (GCM) 38786 describes various circumstances in which filing a protective claim would be appropriate when the expiration of the refund SOL is imminent.
Back-office processes also result in claim delay and rejection.
The problem from a risk management perspective is that if a claim is made after the extended reporting period expires, there might be no coverage (gap in the risk transfer plan).
We recognize that late-filed claims may strain the IRS's resources and frustrate taxpayers when they lead to IRS requests for more time to conduct the audit.
PHOTO Gregory Brose and Melodianne Duffy are ready to offer their advice on small claims matters.
In 1994, under pressure from the supplement industry, Congress passed a law -- the Dietary Supplement Health & Education Act (DSHEA) -- that allows another kind of claim.
Claims issues (in-network and out-of-network claims, denial of claims).
These insurance policies were intended to provide insurance coverage for bodily injury and property damage claims which building owners and operators are facing.
An employee bearing the increasing costs of health care might discover his or her condition could be treated for free through workers' compensation and might disguise the claim as a work-related injury.