__________ is the process of determining whether to pay, reject, deny, or partially pay claims.
A) Determination
B) Adjudication
C) Redetermination
D) Appealing

Question

Quizplus · Accepted Answer

Adjudication is the process where insurers evaluate claims to decide on their validity and how much to pay out, if anything. This involves checking the claim details against the policy terms.

__________ Is the Process of Determining Whether to Pay, Reject