Explain the life cycle of an insurance claim

There are four basic steps to the life cycle of an insurance claim – submission, processing, adjudication, and payment/denial.

Submission is the transmission of claims to an insurance carrier

Processing is completed by the payer by collecting information about the patient, provider, and services performed from the insurance claim form.

Adjudication is when the services and information reported on the claim is compared to payer edits and the patients health benefits to ensure all information needed is available, the claim hasn’t been previously paid, payer rules were followed, and the services billed are covered benefits for the patient.

Submission
Processing
adjudication
Payment/ Denial

Ithink the correct answer would be that since the disease is passed by a hand shake and can be cured with antibiotics that it could be an infection. an example could be that once when i was working in a bush camp, i got blood poisoning from blood blisters that got infected. our cook did not wash his hands after going to the bathroom and he passed staphyloccus on to the crew he fed. one other person also got a bad similar infection on the side of his face. i had to be rescued by helicopter and taken to the hospital so i wouldn't die!