Preferred Label : insurance claim review;
MeSH definition : Review of claims by insurance companies to determine liability and amount of payment
for various services. The review may also include determination of eligibility of
the claimant or beneficiary or of the provider of the benefit; determination that
the benefit is covered or not payable under another policy; or determination that
the service was necessary and of reasonable cost and quality.;
MeSH synonym : review, claims; claim reviews, insurance; reviews, claims; claims review; claims analyses; claim review, insurance; claims analysis; review, insurance claim; claims reviews; insurance claim reviews; reviews, insurance claim; analysis, claims; analyses, claims; Insurance Claims Analysis; Analyses, Insurance Claims; Analysis, Insurance Claims; Claims Analyses, Insurance; Claims Analysis, Insurance; Insurance Claims Analyses;
MeSH Hyperonym : insurance claims processing; insurance audit; Audit, Insurance; Audits, Insurance; Insurance Audits; Claims Processing, Insurance; Processing, Insurance Claims;
Origin ID : D007345;
UMLS CUI : C0021677;
Allowable qualifiers
- Record concept(s)
- See also
- See also (suggested by CISMeF)
- Semantic type(s)
Review of claims by insurance companies to determine liability and amount of payment
for various services. The review may also include determination of eligibility of
the claimant or beneficiary or of the provider of the benefit; determination that
the benefit is covered or not payable under another policy; or determination that
the service was necessary and of reasonable cost and quality.
