Claim
Claim (klaym)
A claim in the medical field refers to a formal request made by a healthcare provider to an insurance company for payment for services rendered to a patient. The claim contains detailed information about the services provided, including the type of service, the diagnosis, and the cost.
Etymology
The term "claim" originates from the Old French clamer, which means "to demand by right". It was first used in the context of insurance in the late 14th century.
Related Terms
- Healthcare provider: A person or organization that provides medical services to patients. This can include doctors, nurses, hospitals, and clinics.
- Insurance company: A business that provides coverage, in the form of compensation resulting from loss, damages, injury, treatment or hardship in exchange for premium payments.
- Diagnosis: The identification of the nature of an illness or other problem by examination of the symptoms.
- Premium: The amount of money that an individual or business must pay for an insurance policy.
See Also
References
- Medical Insurance: An Integrated Claims Process Approach by Joanne Valerius
- Understanding Health Insurance: A Guide to Billing and Reimbursement by Michelle Green
External links
- Medical encyclopedia article on Claim
- Wikipedia's article - Claim
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