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  2. Explanation of benefits - Wikipedia

    en.wikipedia.org/wiki/Explanation_of_benefits

    An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [ 1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes: the payee, the ...

  3. Reservation of rights - Wikipedia

    en.wikipedia.org/wiki/Reservation_of_rights

    The term "reservation of rights" (particularly a "reservation of rights letter”) is often used in connection with insurance claims. The insurance company issues a reservation of rights letter stating that it may deny coverage for some or all of the claim even while the company is investigating the claim or beginning to treat the claim as if ...

  4. Loss payee clause - Wikipedia

    en.wikipedia.org/wiki/Loss_payee_clause

    A loss payee clause (or loss payable clause) is a clause in a contract of insurance that provides, in the event of payment being made under the policy in relation to the insured risk, that payment will be made to a third party rather than to the insured beneficiary of the policy . Such clauses are common where the insured property is subject to ...

  5. Health Insurance: How To Handle a Claim Dispute - AOL

    www.aol.com/health-insurance-handle-claim...

    Follow the steps to make an appeal, and note whether there is a deadline for making the appeal. You also should contact your doctor or the hospital who provided the services that are related to ...

  6. Insurance policy - Wikipedia

    en.wikipedia.org/wiki/Insurance_policy

    In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy ...

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    mail.aol.com

    Get AOL Mail for FREE! Manage your email like never before with travel, photo & document views. Personalize your inbox with themes & tabs. You've Got Mail!

  8. Incurred but not reported - Wikipedia

    en.wikipedia.org/wiki/Incurred_but_not_reported

    Incurred but not reported. In insurance, incurred but not reported ( IBNR) claims is the amount owed by an insurer to all valid claimants who have had a covered loss but have not yet reported it. Since the insurer knows neither how many of these losses have occurred, nor the severity of each loss, IBNR is necessarily an estimate.

  9. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing is a payment practice within the United States healthcare system. The process involves the systematic submission and processing of healthcare claims for reimbursement. Once the services are provided, the healthcare provider creates a detailed record of the patient's visit, including the diagnoses, procedures performed, and any ...

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