CLAIM Definition

Bookmark and Share

CLAIM, in health care, is an itemized statement of healthcare services and their costs provided by a hospital, physicians office, or other provider facility. Claims are submitted to the insurer or managed care plan by either the plan member or the provider for payment of the costs incurred. In general law, a claim is: 1) to make a demand for money, for property, or for enforcement of a right provided by law. 2) the making of a demand (asserting a claim) for money due, for property, from damages or for enforcement of a right. If such a demand is not honored, it may result in a lawsuit. In order to enforce a right against a government agency (ranging for damages from a negligent bus driver to a shortage in payroll) a claim must be filed first. If rejected or ignored by the government, a lawsuit may be filed.

Learn new Accounting Terms

AXIOM, generally, it is a saying that is widely accepted on its own merits; in logic, it is a proposition that is not susceptible of proof or disproof; its truth is assumed to be self-evident.

Y as the fifth letter of a Nasdaq stock symbol indicates that the stock is an ADR.

Suggest a Term

Enter Search Term

Enter a term, then click the entry you would like to view.