how does this claim processin works……..?

hi
can any one give me a rough thought of how does a claim processing business model works in healthcare/insurance companies……….

not here as there is not enough room.

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2 Responses to “how does this claim processin works……..?”

  1. Norma says:

    Yes. There is a book of health guidlines used by the claims people. If anything is borderline on getting coverage you can hope you get the right claims person because some are simpler than others in their choice making. Appeal each negative choice. About 50% of those appeals result in a reversal.
    References :

  2. phlegm says:

    not here as there is not enough room.
    References :

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