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.

Synonyms: Audits, Insurance, Claim Reviews, Insurance, Insurance Claim Review, Insurance Claims Processing, Processing, Insurance Claims, Audit, Insurance, Claims Reviews, Reviews, Claims, Claims Analysis, Claims Analysis, Insurance, Insurance Audit, Insurance Claims Analyses, Claims Analyses, Insurance Claims Analysis, Insurance Claim Reviews, Analysis, Claims, Review, Claims, Claims Review, Claim Review, Insurance, Review, Insurance Claim, Insurance Audits, Claims Processing, Insurance, Analyses, Claims, Claims Analyses, Insurance, Analysis, Insurance Claims, Reviews, Insurance Claim, Analyses, Insurance Claims