claims processing (Michigan regulation)

Claims processing in Michigan is the process of reviewing and validating insurance claims submitted to insurance companies. This process begins when a claim is submitted and can include verifying the accuracy of the claim form for policy information, reviewing medical records, collecting additional information such as bills, invoices, and correspondence, and assessing the amount owed on the claim. The process then culminates with either an acceptance or denial of the claim, payment of benefits, and records of payment maintained by the insurance company.