Claim processing is the process of administering and managing insurance claims. This includes receiving, reviewing, and verifying claims, determining coverage and benefits, and making payments or denying claims. It can involve a variety of tasks, such as communicating with claimants, medical providers, and other parties involved in the claims process. The goal of claim processing is to resolve claims in a timely and efficient manner while ensuring that the claims are accurate and in compliance with the policy terms and regulations.
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