{"id":112068,"date":"2021-06-14T05:51:21","date_gmt":"2021-06-14T05:51:21","guid":{"rendered":"https:\/\/www.healthbenefitstimes.com\/glossary\/?p=112068"},"modified":"2021-06-14T05:51:21","modified_gmt":"2021-06-14T05:51:21","slug":"claims-processing","status":"publish","type":"post","link":"https:\/\/www.healthbenefitstimes.com\/glossary\/claims-processing\/","title":{"rendered":"Claims processing"},"content":{"rendered":"

The procedure by which claims for payment for services are reviewed in order to determine whether they should be paid, and for what amount. The review includes verifying that an authorized provider is submitting the claim, that the person served is a beneficiary, that the services are medically reasonable and are for available benefits, and the amount to be paid.<\/p>\n

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The procedure by which claims for payment for services are reviewed in order to determine whether they should be paid, and for what amount. The review includes verifying that an authorized provider is submitting the claim, that the person served is a beneficiary, that the services are medically reasonable and are for available benefits, and […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-112068","post","type-post","status-publish","format-standard","hentry","category-c"],"yoast_head":"\nClaims processing - Definition of Claims processing<\/title>\n<meta name=\"description\" content=\"The procedure by which claims for payment for services are reviewed in order to determine whether they should be paid, and for what amount. 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