What is claims processing?
Claims processing is an intricate workflow involving 20+ checkpoints that every claim must go through before it’s approved. If a claim makes it through all these checkpoints without issues, the insurance company approves it and processes any insurance payments. If it doesn’t, it gets denied or sent back for more information.
What happens to a claim after it gets submitted?
The easiest way to understand claims processing is to follow a claim through the system.