Claims Processing Directory » Concepts

Independent of accounting or billing, claims processing is the part of the revenue cycle where claims for reimbursement sent from a provider to a payer are taken in, verified, and paid (or denied). As the healthcare system continues its transition from a paper-based to a digital system, electronic claims processing has become a much larger component of the industry. Further efficiencies are promised as more and more health data become cloud-based, enabling providers and payers to access the same data instantaneously.