 Insurance Claim Review
"Insurance Claim Review" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus,
MeSH (Medical Subject Headings). Descriptors are arranged in a hierarchical structure,
which enables searching at various levels of specificity.
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
| Descriptor ID |
D007345
|
| MeSH Number(s) |
N03.219.521.576.215
|
| Concept/Terms |
Insurance Claim Review- Insurance Claim Review
- Review, Insurance Claim
- Claims Review
- Claims Analysis
- Review, Claims
- Claims Reviews
- Reviews, Claims
- Claim Review, Insurance
- Claim Reviews, Insurance
- Insurance Claim Reviews
- Reviews, Insurance Claim
- Analysis, Claims
- Analyses, Claims
- Claims Analyses
Insurance Audit- Insurance Audit
- Audit, Insurance
- Audits, Insurance
- Insurance Audits
|
Below are MeSH descriptors whose meaning is more general than "Insurance Claim Review".
Below are MeSH descriptors whose meaning is more specific than "Insurance Claim Review".
This graph shows the total number of publications written about "Insurance Claim Review" by people in this website by year, and whether "Insurance Claim Review" was a major or minor topic of these publications.
To see the data from this visualization as text, click here.
| Year | Major Topic | Minor Topic | Total |
|---|
| 2000 | 0 | 1 | 1 | | 2004 | 1 | 0 | 1 | | 2006 | 0 | 1 | 1 | | 2007 | 1 | 1 | 2 | | 2009 | 1 | 1 | 2 | | 2010 | 1 | 0 | 1 | | 2011 | 0 | 4 | 4 | | 2012 | 1 | 4 | 5 | | 2013 | 0 | 3 | 3 | | 2014 | 3 | 3 | 6 | | 2015 | 0 | 4 | 4 | | 2016 | 0 | 4 | 4 | | 2017 | 2 | 4 | 6 | | 2018 | 0 | 3 | 3 | | 2019 | 1 | 2 | 3 | | 2020 | 1 | 2 | 3 | | 2021 | 1 | 2 | 3 | | 2022 | 0 | 1 | 1 | | 2023 | 0 | 1 | 1 | | 2024 | 0 | 2 | 2 | | 2025 | 2 | 0 | 2 |
To return to the timeline, click here.
Below are the most recent publications written about "Insurance Claim Review" by people in Profiles.
-
Lalani C, Medina F, Oseran AS, Liang L, Song Y, Butala NM, Kazi DS, Cohen DJ, Strom JB, Wadhera RK, Yeh RW. Validation of Medicare Advantage Claims for Long-Term Outcome Assessment in Low-Risk Aortic Valve Replacement. Circ Cardiovasc Qual Outcomes. 2025 May; 18(5):e011991.
-
Butala NM, Lalani C, Tale A, Song Y, Kolte D, Baron S, Strom J, Cohen DJ, Yeh RW. Use of Claims to Assess Outcomes and Treatment Effects in the Evolut Low Risk Trial. Circ Cardiovasc Interv. 2025 Jan; 18(1):e014592.
-
Anderson KE, Chaiyakunapruk N, Gutierrez EJ, Schmutz HW, Rose MR, Brixner D, McQueen RB. State Out-Of-Pocket Caps On Insulin Costs: No Significant Increase In Claims Or Utilization. Health Aff (Millwood). 2024 08; 43(8):1137-1146.
-
Xu J, Anderson KE, Liu A, Polsky D. Medicare Advantage plan characteristics associated with sorting their beneficiaries to providers that generate fewer avoidable hospital stays. Health Serv Res. 2024 08; 59(4):e14335.
-
Dawwas GK, Weiss A, Constant BD, Parlett LE, Haynes K, Yang JY, Brensinger C, Wu Q, Pate V, Jonsson Funk M, Schaubel DE, Hurtado-Lorenzo A, David Kappelman M, Lewis JD. Development and Validation of Claims-Based Definitions to Identify Incident and Prevalent Inflammatory Bowel Disease in Administrative Healthcare Databases. Inflamm Bowel Dis. 2023 12 05; 29(12):1993-1996.
-
Peters AT, Bengtson LGS, Chung Y, Emmanuel B, Katial RK, Kreindler JL, Blauer-Peterson CJ, Davis GE. Clinical and economic burden of chronic rhinosinusitis with nasal polyposis: A U.S. administrative claims analysis. Allergy Asthma Proc. 2022 09 01; 43(5):435-445.
-
Suls J, Bayliss EA, Berry J, Bierman AS, Chrischilles EA, Farhat T, Fortin M, Koroukian SM, Quinones A, Silber JH, Ward BW, Wei M, Young-Hyman D, Klabunde CN. Measuring Multimorbidity: Selecting the Right Instrument for the Purpose and the Data Source. Med Care. 2021 08 01; 59(8):743-756.
-
Burkhard A, Toliver J, Rascati K. Association between multiple sclerosis disease severity and adherence to disease-modifying therapies. J Manag Care Spec Pharm. 2021 Jul; 27(7):915-923.
-
Lind KE, Hildreth K, Lindrooth R, Morrato E, Crane LA, Perraillon MC. The effect of direct cognitive assessment in the Medicare annual wellness visit on dementia diagnosis rates. Health Serv Res. 2021 04; 56(2):193-203.
-
Schwartz AM, Kugeler KJ, Nelson CA, Marx GE, Hinckley AF. Use of Commercial Claims Data for Evaluating Trends in Lyme Disease Diagnoses, United States, 2010-2018. Emerg Infect Dis. 2021; 27(2):499-507.
|
People  People who have written about this concept. _
Similar Concepts
People who have written about this concept.
_
Top Journals
Top journals in which articles about this concept have been published.
|