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In this video, Dr. Eric Bricker discusses health insurance claims adjudication, a crucial yet often overlooked topic in healthcare. He explains that a claim is submitted by healthcare providers like doctors or hospitals, and the process from submission to payment by the insurance company is called adjudication. The video highlights auto adjudication, where approximately 85% of claims are processed without human intervention, relying on software instead. In contrast, claims that require human handling cost around twenty dollars to process. Understanding this process is essential for those working in healthcare, employee benefits, and health insurance.
