Search on: INSURANCE CLAIM REVIEWS 
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Descriptor English:   Insurance Claim Review 
Descriptor Spanish:   Revisión de Utilización de Seguros 
Descriptor Portuguese:   Revisão da Utilização de Seguros 
Synonyms English:   Analysis, Claims
Claim Review, Insurance
Claims Analysis
Review, Claims
Review, Insurance Claim
Analyses, Claims
Audit, Insurance
Audits, Insurance
Claim Reviews, Insurance
Claims Analyses
Claims Processing, Insurance
Claims Reviews
Insurance Audits
Insurance Claim Reviews
Processing, Insurance Claims
Reviews, Claims
Reviews, Insurance Claim
Insurance Audit
Claims Review
Insurance Claims Processing  
Tree Number:   N03.219.521.576.215
Definition English:   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. 
History Note English:   91(86); was see under INSURANCE, HEALTH 1986-90 
Allowable Qualifiers English:  
CL classification EC economics
ES ethics HI history
LJ legislation & jurisprudence OG organization & administration
ST standards SN statistics & numerical data
TD trends UT utilization
Record Number:   17646 
Unique Identifier:   D007345 

Occurrence in VHL: 		 

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