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Dr. Eric Bricker discusses health insurance claims adjudication in this video. Claims are submitted by healthcare providers and paid by insurance companies after going through the adjudication process. Auto adjudication, where claims are processed by software without human intervention, is used for about 85% of claims. Handling a claim manually costs around $20, so most claims are processed automatically to save time and money. Understanding claims adjudication is essential for healthcare employees and those in the insurance industry.
