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QLAdmin | Health Claims Adjudication Module

Health claims adjudication for individual and worksite product administration. Process and validate service details for each coverage element and plan dependent, along with submitted/paid data and benefit parameters. Adjustor levels ensure oversight and review for claim payments. ICD-10 compliant.

  • Editorial Team
  • May 12, 2021
  • 1 minute

Health claims adjudication for individual and worksite product administration. Process and validate service details for each coverage element and plan dependent, along with submitted/paid data and benefit parameters. Adjustor levels ensure oversight and review for claim payments. ICD-10 compliant.