claim


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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.
References in periodicals archive ?
Modern "data driven" claims applications also support predictive analytics and other leading edge claims analytics and action based tools that can create the right treatment plan for the claim as early on in the adjusting process as possible.
Accenture research indicates that insurers have three main concerns about claims business-process outsourcing: disruption of customer relationships that may occur when a critical process moves to a third party; immaturity of the business-process outsourcing provider landscape-most outsourcers are ill-equipped to deliver on severity management or service uplift, and focus almost exclusively on labor cost arbitrage; and finally, regulatory and political restraints on outsourcing, particularly offshore.
The appeals court also explained that the original affidavits provided to the magistrate judge were conclusory assertions that the documents were created in anticipation of litigation but Yum was permitted to supplement the record and provide more concrete and detailed support for its work-product claim. Because privilege and work-product cases are so fact intensive, taxpayers should pay careful attention to their proof and should not assume they will be given a second chance.
Senate and House of Representatives that would remove the prohibition against attorneys being paid to help veterans with benefit claims. Staff from both the House and Senate Veterans' Affairs Committees have told the DAV that veterans complain about not having the right to hire a lawyer to help them navigate the VA system.
A trade creditor sells its claim in order to realize an immediate cash payment.
In this case, the owner pays the first $100,000 towards the claim. A third party administrator (TPA) administers the claim, charges the owner a designated fee, and then may seek to dispose of the case quickly as a means of limiting the owner's costs and expenses.
"Remember that the consultant reviewing the claim does not have the benefit of being able to see the patient clinically," says Ms.
Fewer consumers have blind faith that any food with a carb claim will restore their college physique.
The study also noted that 42 percent of the claims filed against long term care facilities from 1995 to 2001 were for more than $50,000; roughly 5 percent were for more than $500,000.
The Post reports that the agency's new electronic claims system consists of five technology pieces that all center around an electronic folder.
Nic Mesco, assistant vice president, Claims, has been promoted to vice president, Claims, with executive leadership responsibility for RLI's Casualty product claims.
When claims are filed under both Article 139 and the Foreign Claims Act for the same incident, the best practice is to hold the Foreign Claims Act claim in abeyance until the Article 139 claim is paid.