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In this video, Al Red Murr from the Maryland Insurance Administration discusses the importance of understanding your rights regarding insurance claim payments for medical services. He outlines the claims process using a knee pain example involving a patient with a $1,000 deductible, which has $750 already applied. After receiving services from in-network providers, the medical providers and pharmacy file claims with the insurance company on the patient's behalf. The video emphasizes that knowing how claims are processed is crucial for ensuring you receive the benefits to which you are entitled under your healthcare plan.
