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Similar to a company adjuster, an independent adjuster works on behalf of the insurance company, but unlike company adjusters, they are not employees of the company.
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The insurer may require that the claim be filed on its own proprietary forms, or may accept claims on a standard industry form, such as those produced by ACORD. Insurance-company claims departments employ a large number of claims adjusters, supported by a staff of records management and data entry clerks. Incoming claims are classified based on ...
Most adjusters are employed or contracted by insurers and don’t charge policyholders for home visits, but homeowners can hire public adjusters as well. To dispute a claim, you can hire an ...
Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4] The payor returns the claim back to the medical biller and the biller evaluates how much of the bill the patient owes, after insurance is taken out.
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