MeSH Browser

MeSH Heading: Insurance Claim Review
Tree Number(s): N03.219.521.576.215
Unique ID: D007345
RDF Unique Identifier: http://id.nlm.nih.gov/mesh/D007345
Scope Note: 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.
Entry Version: INSURANCE CLAIM REV
Entry Term(s): Analysis, Claims; Claim Review, Insurance; Claims Analysis; Claims Review; Insurance Audit; Insurance Claims Analysis; Insurance Claims Processing; Review, Claims; Review, Insurance Claim
Previous Indexing: Insurance, Health/utilization (1966-1985); Insurance, Hospitalization/utilization (1966-1985); Utilization Review (1968-1985)
Public MeSH Note: 91; was see under INSURANCE, HEALTH 1986-90
History Note: 91(86); was see under INSURANCE, HEALTH 1986-90
Date Established: 1991/01/01
Date of Entry: 1985/04/24
Revision Date: 2017/12/13

Allowable Qualifiers: classification (CL)

economics (EC)

ethics (ES)

history (HI)

legislation & jurisprudence (LJ)

organization & administration (OG)

standards (ST)

statistics & numerical data (SN)

trends (TD)

Concept UI: M0011450
Scope Note: 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.
Terms: Insurance Claim Review Preferred Term
Term UI T022004
Date01/01/1999
LexicalTag NON
ThesaurusID NLM (1986); Claims Review
Term UI T022008
Date05/03/1991
LexicalTag NON
ThesaurusID NLM (1992); Insurance Claims Analysis
Term UI T000934854
Date10/18/2017
LexicalTag NON
ThesaurusID NLM (2019); Claim Review, Insurance
Term UI T022002
Date04/24/1985
LexicalTag NON
ThesaurusID UNK (19XX); Review, Insurance Claim
Term UI T022003
Date04/24/1985
LexicalTag NON
ThesaurusID UNK (19XX); Analysis, Claims
Term UI T022005
Date05/03/1991
LexicalTag NON
ThesaurusID NLM (1992); Review, Claims
Term UI T022007
Date05/03/1991
LexicalTag NON
ThesaurusID NLM (1992); Claims Analysis
Term UI T022006
Date05/03/1991
LexicalTag NON
ThesaurusID NLM (1992)

Insurance Claim Review MeSH Descriptor Data 2025