Use this button to switch between dark and light mode.

Best Practices in Processing Health Insurance Claims

July 12, 2022

Rely on the Practical Guidance Healthcare practice area for a comprehensive checklist addressing claims processing issues. Educate yourself on the relevant laws, regulations, and administrative rules governing the process; discover relevant claims processing timelines and claim forms; and equip yourself with the necessary questions to understand your clients’ particular obligations.

READ NOW »


Related Content

  • Balance Billing and Other No Surprises Act Rules
    Get up to speed on the principal provisions of the No Surprises Act. Ensure your clients stay compliant with federal law prohibiting surprise billing of participants, constraining participant cost-sharing obligations, and establishing a mandatory negotiation and arbitration process to resolve reimbursement rate disputes.
  • Federal Healthcare Program Exclusions Prevention Checklist
    Ensure your clients—including health systems, hospitals, physician groups, and individual practitioners—are not excluded from participation in Medicare, Medicaid, and other government-funded healthcare reimbursement programs.
  • Health Insurance Payment Systems State Law Survey
    Don’t run afoul of state law requirements addressing required coverages in healthcare insurance policies. Review this 50-state survey for more information on mandated benefits reviews, reviews of coverage denials and claims, and requirements on physician financial incentives and premium rating types.
  • Drug Reporting Rules Present Challenges for Many
    Download the Mercer Law and Policy Group’s 20-page article summarizing prescription drug reporting rules and learn how the 2021 Consolidated Appropriations Act requires group health plans and health insurers to report prescription drug pricing and healthcare spending.

Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.   


Experience results today with practical guidance, legal research, and data-driven insights—all in one place.

Experience Lexis+