Glossary entry (derived from question below)
Jan 19, 2007 09:44
17 yrs ago
45 viewers *
English term
Switzerland
The doctor
Native in: Italian
Works in: German to Italian, English to Italian, French to Italian
Medical claim
English
Medical
Medical (general)
Dear collegues, in the sentence "Data obtained through review of medical claims", what does "medical claims" exactly mean? I do not know much about US procedures, so every explanation is helpful.
Many thanks
Many thanks
Responses
+4
27 mins
Carmen Schultz
Native in English
&
English
Specializes in field
Accurate & Reliable
Native in: Spanish 
, English
Works in: English to Spanish, Spanish to English, French to English, and 2 more.
Related KudoZ points
:
4
Selected
SEE
In the US., medical claims in general refers to the requests for payment made by the provider/doctor to the insurance company after a patient is seen and has made a copayment and/or by the patient to the insurance company (Depends on the type of medical insurance -- many years ago, before copayments were popular, the patient would pay the entire visit and then would be reimbursed at a certain percentage such as 70 or 80 percent of the total visit)
Note from asker:
| Thank you. So, it has nothing to do with legal claims, it is a normal bureaucratic procedure. |
Peer comment(s):
| agree |
Vicky Papaprodromou
49 mins
|
|
thanks
|
|
| agree |
Alexander Demyanov
3 hrs
|
|
thanks
|
|
| agree |
Alfa Trans (X)
5 hrs
|
|
THX
|
|
| agree |
Maria-Jose Pastor
: if in fact this has to do with the insurance indusrty and not legal claims for medical reasons.
9 hrs
|
|
thx
|
4 KudoZ points awarded for this answer.
Comment: "Thank you to everyone!"
+3
8 mins
William [Bill] Gray
Norway
Norway
Native in English
&
English
Specializes in field
Norway
Working with words
Native in: English 
Works in: English, Norwegian to English, Danish to English, and 1 more.
Related KudoZ points
:
21
a claim for reimbursement/compensation on medical grounds
This is a way of referring to the large amount of data which has accumulated based on the number of claims made on medical grounds, usually to the appropriate insurers. It may also refer to claims made against medical personnel, for example, on grounds of negligence.
The second web link refers to another kind of claim, that of the medical personnel having to claim for services given.
You will have to supply a little more context if you want help to decide which claim is being referred to in your text.
Good luck.
--------------------------------------------------
Note added at 17 mins (2007-01-19 10:01:21 GMT)
--------------------------------------------------
Then I think it is most likely the claim of individuals against their health care insurance companies for medical treatment received by the claiming individuals.
The second web link refers to another kind of claim, that of the medical personnel having to claim for services given.
You will have to supply a little more context if you want help to decide which claim is being referred to in your text.
Good luck.
--------------------------------------------------
Note added at 17 mins (2007-01-19 10:01:21 GMT)
--------------------------------------------------
Then I think it is most likely the claim of individuals against their health care insurance companies for medical treatment received by the claiming individuals.
Reference:
http://www.medicalclaims.co.uk/
http://www.entrepreneur.com/startingabusiness/businessideas/startupkits/article37890.html
Note from asker:
| Thank you. It refers to a published analysis. From the abstract: METHOD: Using a large, automated, US healthcare claims database, we identified all adults who received chemotherapy for NHL, breast cancer, or lung cancer between 1998 and 2002. For these patients, we identified their first course of chemotherapy and each unique cycle within that course. |
| Article: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed |
Peer comment(s):
| agree |
Jack Doughty
26 mins
|
|
Thanks, Jack!
|
|
| agree |
Alexander Demyanov
: For medical expenses rater than "on medical grounds"
3 hrs
|
|
Thank you, Alexander!
|
|
| agree |
Vanessa Fuller
2 days 8 hrs
|
|
Thank you, Vanessa!
|
Discussion