Adjudication

Adjudication

Adjudication (/əˌdʒuːdɪˈkeɪʃən/) is a legal process by which an argument or case is resolved or settled. In the medical field, adjudication often refers to the process by which health claims are reviewed for validity and accuracy.

Etymology

The term "adjudication" is derived from the Latin word adjudicatio, which means "to award something to someone".

Related Terms

• Claim: A request for payment that you or your health care provider submits to your health insurer when you get items or services you think are covered.
• Health Insurance: A type of insurance coverage that pays for medical and surgical expenses incurred by the insured.
• Medical Billing: The process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider.
• Healthcare Provider: A person or company that provides a healthcare service to you. In other words, your healthcare provider is the person or place that is providing you with medical care.

See Also

• Healthcare in the United States
• Healthcare system
• Healthcare reform

External links

• Medical encyclopedia article on Adjudication
• Wikipedia's article - Adjudication

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