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Insurance Claim Review MeSH Descriptor Data 2022


MeSH Heading
Insurance Claim Review
Tree Number(s)
N03.219.521.576.215
Unique ID
D007345
RDF Unique Identifier
http://id.nlm.nih.gov/mesh/D007345
Scope Note
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.
Entry Version
INSURANCE CLAIM REV
Entry Term(s)
Analysis, Claims
Claim Review, Insurance
Claims Analysis
Claims Review
Insurance Audit
Insurance Claims Analysis
Insurance Claims Processing
Review, Claims
Review, Insurance Claim
Previous Indexing
Insurance, Health/utilization (1966-1985)
Insurance, Hospitalization/utilization (1966-1985)
Utilization Review (1968-1985)
Public MeSH Note
91; was see under INSURANCE, HEALTH 1986-90
History Note
91(86); was see under INSURANCE, HEALTH 1986-90
Date Established
1991/01/01
Date of Entry
1985/04/24
Revision Date
2017/12/13
Insurance Claim Review Preferred
Insurance Audit Broader
Insurance Claims Processing Broader
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