claim adjudication

USAGE SUMMARY

The phrase "claim adjudication" is correct and usable in written English.
It can be used in contexts related to legal or insurance processes where a claim is being evaluated or decided upon. Example: "The claim adjudication process can take several weeks, depending on the complexity of the case."

✓ Grammatically correct

News & Media

Science

Wiki

Human-verified examples from authoritative sources

Exact Expressions

2 human-written examples

These businesses embrace branding and marketing, price transparency, call center performance metrics, roadside claim adjudication and accelerated claim payments, all designed to drive customer loyalty and satisfaction for a product everyone hopes they'll never have to use.

TechCrunch

In December, lawmakers from both political parties in both chambers of Congress issued a strong statement opposing the piracy bills, proposing an alternative bill that included more government review of copyright infringement claims and kicked claim adjudication toward the U.S. International Trade Commission, responsible for policing international trade violations.

Huffington Post

Human-verified similar examples from authoritative sources

Similar Expressions

58 human-written examples

July 19 , 2013-- Claim adjudications -- The Court-appointed neutral third parties finished their review of all completed claims timely submitted by class members.

Huffington Post

Real-time claims adjudication is a big component of his proposals.

The New York Times

Having multiple competing insurers results in costs for marketing, underwriting, billing, claims adjudication, executive salaries and profit.

The New York Times

Instant processing has been discussed in the health care industry long enough that it has acquired a formal term: "real-time claims adjudication".

The New York Times

Nonetheless, some large insurers, led by Humana, have been pushing the rest of the industry to adopt real-time claims adjudication.

The New York Times

Marylou Bailey, a health industry expert at Accenture, the management consulting company, says the principal precondition for adoption of real-time claims adjudication is to have doctors use electronic medical records — and to enter the data as they see patients.

The New York Times

They started out in the 1970s doing claims adjudication for pharmacies and insurers, but moved into negotiating drug prices with manufacturers, designing health plans for employers and insurers and running mail-order shops.

Forbes

Services such as remote infrastructure management, financial reporting, insurance claims adjudication and industry-specific application development were a far-flung fantasy back then, but today are high-growth outsourced services being delivered for enterprises.

Forbes

A CEO of a large BPO company, who had once considered buying MedAssist, says the hospitals business does not lend itself to off shoring because a lot of the work, especially claims adjudication (settling medical bills between hospitals and insurance companies), is extremely prone to litigation and needs a heavy onshore presence.

Forbes

Expert writing Tips

Best practice

When writing about insurance or legal processes, use "claim adjudication" to clearly indicate the formal process of deciding on a claim's validity.

Common error

Avoid using "claim adjudication" in casual conversation; opt for simpler terms like "settling a claim" or "dealing with a claim".

Linguistic Context

The phrase "claim adjudication" functions as a noun phrase, typically serving as the subject or object of a sentence. It describes a formal process within legal, insurance, or healthcare contexts, as evidenced by Ludwig examples.

Expression frequency: Uncommon

Frequent in

News & Media

33%

Science

33%

Wiki

33%

Less common in

Encyclopedias

0%

Formal & Business

0%

Academia

0%

Ludwig's WRAP-UP

In summary, "claim adjudication" is a noun phrase denoting the formal process of evaluating and resolving claims. As Ludwig AI underlines, the phrase is considered grammatically correct and suitable for use in formal contexts such as insurance, law, or healthcare. While alternatives like "claims processing" or "claims assessment" exist, "claim adjudication" is precise in its reference to the official decision-making phase. It is primarily encountered in news, scientific publications, and business contexts. When writing, use "claim adjudication" for formal, technical writing and opt for simpler terms in casual communication.

More alternative expressions

Phrases that express similar concepts, ordered by semantic similarity:

insurance claim handling

Specifically relates to managing claims in the insurance industry.

claims processing

Focuses on the procedural aspect of handling claims.

settling claims

Focuses on reaching an agreement to resolve claims.

claim settlement

Emphasizes the resolution and agreement on a claim.

processing claims

Refers to the administrative steps in dealing with claims.

claims assessment

Highlights the evaluation stage of a claim.

evaluating claims

Highlights the phase of judging the merit of claims.

claims review

Implies a close examination of the details of a claim.

dispute resolution

Broader term covering various methods of resolving disagreements.

case resolution

Refers to the conclusion of a legal case or matter.

FAQs

What does "claim adjudication" mean?

"Claim adjudication" refers to the process by which an insurance company or other organization reviews and makes a decision on a claim. It involves evaluating the validity of the claim and determining the appropriate payment.

How is "claim adjudication" used in healthcare?

In healthcare, "claim adjudication" involves reviewing medical claims to ensure that the services billed were medically necessary and appropriately coded. This process helps to determine the amount the insurer will pay to the healthcare provider.

What are some alternatives to saying "claim adjudication"?

Alternatives to "claim adjudication" include "claims processing", "claims assessment", or "claim settlement", depending on the specific context.

What is real-time "claim adjudication"?

Real-time "claim adjudication" is the process of instantly processing and approving or denying claims, often used in healthcare settings. It allows for immediate determination of payment amounts at the point of service.