Adjudication

Definition of Adjudication from the PharmacyDictionary.in

Adjudication

“Adjudication” refers to the procedure of examining a claim to ascertain the appropriate payment. It is a critical step in the healthcare billing process where the claim is reviewed for its validity based on the services provided and the insurance coverage of the patient. The outcome of this process determines whether the claim will be approved, denied, or requires additional investigation. This term is commonly used in insurance and healthcare industries.

Not Available