Definition
Individuals who review insurance claims that have been submitted to ensure that proper guidelines have been followed. They check claim applications for completeness and accuracy, interview medical specialists, and consult policy files to verify the information reported in a claim. Examiners either authorize the appropriate payment or refer the claim to an investigator for a more thorough review.
URL Name
YO-1000-3200-360
Third Level Code
YO-1000
Taxonomy Code
YO-1000.3200-360
Parent Code
YO-1000.3200
Family Code
Y
Second Level Code
YO
Fifth Level Code
YO-1000-3200-360
Fourth Level Code
YO-1000-3200
Publication Status
Online