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claimAs 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.
claimA 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.
A statement from a patient or health care provider presented to an insurance company or HMO for payment for services performed.
A statement from a patient of a health care provider presented to an insurance company or HMO for payment.