Insurance Case Management

Published: | Updated: September 22, 2017

Definition - What does Insurance Case Management mean?

Insurance case management is the process of monitoring particular insurance cases to make sure that all claims and expenses are necessary, reasonable, and legitimate. Health insurance companies typically hire case managers to oversee insurance cases. Their goal is to prevent the insurance company from wasting money while at the same time making sure that patient get proper health care.

Insuranceopedia explains Insurance Case Management

Health insurance companies frequently rely on case managers because they can lose a lot of money covering unnecessary procedures. Additionally, patients may not have all of the information they need about coverage. Essentially, insurance case management helps the health insurance process run smoothly and effectively. Only qualified people with adequate medical knowledge can become case managers for health insurance companies. For this reason, medical professionals frequently occupy these positions.

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