What Is Adjudication In Health Insurance?

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   Bob VineyardPRO

   Founder, Georgia Medicare Plans, Atlanta,GA

   Adjudication is a review of submitted claims to determine if you qualify based on your plan and premiums, and if the claim is an eligible claim under the terms of your policy. Once a claim has been properly adjudicated and approved for payment, the carrier or claims payer will issue a check.

   Answered on May 26, 2013

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