Health Insurance
What is Claim Adjudication in Health Insurance?
Claim adjudication is the step where insurers evaluate medical claims against policy terms, documents, and coverage conditions. It outlines how claims are reviewed, verified, approved, partially settled, or declined, ensuring consistent and structured claim assessment.
25 Feb 2026
Claim adjudication is the step where insurers evaluate medical claims against policy terms, documents, and coverage conditions. It outlines how claims are reviewed, verified, approved, partially settled, or declined, ensuring consistent and structured claim assessment.
25 Feb 2026