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Descriptor in English: Insurance Claim Review
Descriptor in Spanish: Revisión de Utilización de Seguros
Descriptor in Portuguese: Revisão da Utilização de Seguros
Descriptor in French: Examen des demandes de remboursement d'assurance
Entry term(s): Analyses, Claims
Analyses, Insurance Claims
Analysis, Claims
Analysis, Insurance Claims
Audit, Insurance
Audits, Insurance
Claim Review, Insurance
Claim Reviews, Insurance
Claims Analyses
Claims Analyses, Insurance
Claims Analysis
Claims Analysis, Insurance
Claims Processing, Insurance
Claims Review
Claims Reviews
Insurance Audit
Insurance Audits
Insurance Claim Reviews
Insurance Claims Analyses
Insurance Claims Analysis
Insurance Claims Processing
Processing, Insurance Claims
Review, Claims
Review, Insurance Claim
Reviews, Claims
Reviews, Insurance Claim
Tree number(s): N03.219.521.576.215
Scope note: 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.
Allowable Qualifiers: CL classification
EC economics
ES ethics
HI history
LJ legislation & jurisprudence
OG organization & administration
SN statistics & numerical data
ST standards
TD trends
History Note: 91(86); was see under INSURANCE, HEALTH 1986-90
DeCS UI: 17646
Descriptor UI: D007345
Date Established: 1991/01/01
Date of Entry: 1985/04/24
Revision Date: 2017/12/13
Insurance Claim Review - Preferred
Concept UI M0011450
Scope note 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.
Preferred term Insurance Claim Review
Entry term(s) Analyses, Claims
Analyses, Insurance Claims
Analysis, Claims
Analysis, Insurance Claims
Claim Review, Insurance
Claim Reviews, Insurance
Claims Analyses
Claims Analyses, Insurance
Claims Analysis
Claims Analysis, Insurance
Claims Review
Claims Reviews
Insurance Claim Reviews
Insurance Claims Analyses
Insurance Claims Analysis
Review, Claims
Review, Insurance Claim
Reviews, Claims
Reviews, Insurance Claim
Insurance Audit - Broader
Concept UI M0011451
Preferred term Insurance Audit
Entry term(s) Audit, Insurance
Audits, Insurance
Insurance Audits
Insurance Claims Processing - Broader
Concept UI M0011452
Preferred term Insurance Claims Processing
Entry term(s) Claims Processing, Insurance
Processing, Insurance Claims



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