Health Insurance Claim

/ˈhɛlθ ɪnˈʃʊərəns kleɪm/

Definitions

  1. (n.) A formal request submitted by an insured party to a health insurer for payment or reimbursement of medical services or treatments covered under a health insurance policy.
    The patient filed a health insurance claim to cover the cost of the surgery.

Forms

  • health insurance claim
  • health insurance claims

Commentary

Health insurance claims must comply with policy terms and insurer procedures; accurate documentation is critical to avoid denials.

This glossary is for general informational and educational purposes only. Definitions are jurisdiction-agnostic but reflect terminology and concepts primarily drawn from English and American legal traditions. Nothing herein constitutes legal advice or creates a lawyer-client relationship. Users should consult qualified counsel for advice on specific matters or jurisdictions.

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