Reimbursement Claim
A plain-English definition from the DeployIT insurance technology glossary.
In short: A claim where the insured pays the hospital and the insurer reimburses admissible expenses after document submission.
Related terms
- Cashless Claim
- A health claim where the insurer/TPA settles directly with a network hospital, so the patient pays only non-covered amounts.
- TPA (Third-Party Administrator)
- An IRDAI-licensed entity that administers health claims (cashless authorization, hospital network and reimbursement processing) on behalf of insurers.
See this concept working in software
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