What does medical claim mean?

A medical claim is a document submitted to a health insurance provider by a healthcare provider or patient seeking reimbursement for medical services provided. It contains detailed information about the medical treatment, including the services rendered, dates of service, diagnosis codes, and the amount being charged. The insurance provider reviews the claim to determine the patient's eligibility for coverage, the medical necessity of the services, and the appropriate reimbursement amount based on the terms of the insurance policy.