Elayaragavan Vellingiri
Senior Claims Associate at NTT DATA
- Role
- Hc Insurance & Operation Senior Rep at NTT
- Location
- Coimbatore, IN
- LinkedIn followers
- 500 followers
About Elayaragavan Vellingiri
A Young, dynamic person seeking challenging position in the field of Information…
Experience
Hc Insurance & Operation Senior Rep
Aug 2022 — Present · Coimbatore, IN
Claims adjudication is a long and complex process that is used by a payor to evaluate a medical claim. They use it to determine how much will be reimbursed to a healthcare provider for administering care services.The payor reviews the claim for relevancy and ensures there are no errors in the patient’s personal details and no omissions. It is then checked for appropriate and accurate medical codes such as the Healthcare Common Procedure Coding System (HCPCS) and the Current Procedural Terminology (CPT). Claims are sometimes checked by a medical examiner to determine if the procedures being claimed for were necessary and valid.
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