The claims adjudication process is the systematic evaluation of healthcare claims to determine their validity and the appropriate reimbursement amount. It involves verifying patient eligibility, checking for billing errors, applying insurance policies, and ensuring compliance with healthcare regulations. Solutions like Mirra's claims adjudication software streamline this process, ensu... https://mirrahealthcare.com/medicare-advantage-in-a-box/claims-adjudication?utm_source=url&utm_medium=post&utm_campaign=june2025