Structured Summary
Abstract
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.
MeSH Record
Classification
Broader headings
Related Concepts
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See Also
MeSH Record
Synonyms
26 entry terms
- Analysis, Claims
- Claim Review, Insurance
- Claims Analysis
- Claims Review
- Insurance Claims Analysis
- Review, Claims
- Review, Insurance Claim
- Analyses, Claims
- Analyses, Insurance Claims
- Analysis, Insurance Claims
- Claim Reviews, Insurance
- Claims Analyses
- Claims Analyses, Insurance
- Claims Analysis, Insurance
- Claims Reviews
- Insurance Claim Reviews
- Insurance Claims Analyses
- Reviews, Claims
- Reviews, Insurance Claim
- Insurance Audit
- Insurance Claims Processing
- Audit, Insurance
- Audits, Insurance
- Claims Processing, Insurance
- Insurance Audits
- Processing, Insurance Claims
MeSH Record
Aspects Covered
9 allowable subheadings
Indexed with the subheadings classification, economics, ethics, history, legislation & jurisprudence, organization & administration, standards, statistics & numerical data, trends.
MeSH Record
History Note
91(86); was see under INSURANCE, HEALTH 1986-90
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Previous Indexing
- Insurance, Health/utilization (1966-1985)
- Insurance, Hospitalization/utilization (1966-1985)
- Utilization Review (1968-1985)
MeSH Hierarchy
Tree Number
AMA Style
References
- National Library of Medicine. Insurance Claim Review. Medical Subject Headings (MeSH). 2026. Unique ID D007345. http://id.nlm.nih.gov/mesh/2026/D007345
- Insurance Claim Review. In: Wikidata. https://www.wikidata.org/wiki/Q70350717