Question

Discuss the factors that combine to contribute to final claim reimbursement amount. this question is from health insurance class

Answer 1

Many factors are involved in calculating the final amount your claim will settle for. Other factors affecting the settlement include proof of liability, the county or city where the injury occurred , whether medical treatments were reasonable and necessary, if it was an accident, the at-fault party’s driving record, and the claimant’s level of comparative fault. Also consider the treatment and other medical item used were appropriate for the condition, and the diagnostic tests have done are really needed. The insurance company follow a retrospective methodology for calculating reimbursement.