What does adjudication mean in medical billing? After a medical claim is submitted, the insurance companydetermines their financial responsibility for the payment to the provider. This process is referred to as claims adjudication. The insurance company can decide to pay the claim in full, deny the...
Born out of frustrations over antiquated, manual and unnecessarily repetitive tasks in the claims billing process, Pharmacy Adjudication Leaders was founded in 2010 to provide pharmacies and payers an easier, better and smarter way of doing business. Smarter claims processing and better cost efficiency...
If your claim didn’t process the way you anticipated, it’s important that you don’t submit a duplicate claim for the same patient. Duplicate claims typically result in additional denials. Questions on electronic options? Email ourProvider Education Consultants. Be sure to include your name, ...