The costs of surgical procedures or inpatient hospital staystays remain prohibitive, so individual or group health policies compensate patients for the financial burden. This compensation is done by submitting a financial claim byto the medical service providers after receiving the service. When you file a claim under an insurance policy, you formally notify the insurance company that you have suffered a loss or damage that you think is covered by the policy and that you are requesting action. The electronic claims system is one of the sub-systems of the electronic approval system for health insurance companies that are used by medical service providers such as pharmacies, medical laboratories, etc., which allows them to claim theirthe financial benefits that the insured received. Medical insurance claims include the procedures followed to pay the value of medical expenses for treatmentthe treatment of the insured and the beneficiaries, whether at accredited or unapproved hospitals and medical centers,. Before making a claim, you need to know the procedure for filing one, and the documents and information required to file it. The objective of this system is to describe the Healthhealth insurance claim that plays the role of the gateway for all health insurance claims submitted to wiseWISE University. The systems have a critical role in reducing heavy administrative workloads through automatic data processing. And The role of the system will become increasingly important in reducing the workload of Submit Medicalinvolved in submitting medical insurance claims.
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