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DeCS
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Descriptor English:
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Insurance Claim Review
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Descriptor Spanish:
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Revisión de Utilización de Seguros
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Descriptor Portuguese:
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Revisão da Utilização de Seguros
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Synonyms English:
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Insurance Audit
Claims Review
Insurance Claims Processing
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Tree Number:
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N03.219.521.576.215
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Definition English:
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Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality. |
History Note English:
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91(86); was see under INSURANCE, HEALTH 1986-90
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Allowable Qualifiers English:
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Record Number:
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17646
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Unique Identifier:
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D007345
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Occurrence in VHL:
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Similar:
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DeCS CID-10 SciELO LILACS LIS
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