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  1. Mar 14, 2024 · When it comes to handling insurance claims, two key roles emerge: the field adjuster and the desk adjuster. Both play vital parts in the insurance claim process, but their roles, responsibilities, and work environments differ significantly. Onsite Review. A field adjuster is the insurance industry’s boots on the ground. They travel to the ...

  2. It comes from the Latin word "circa," which means "around" or "approximately." When you see the abbreviation "c." before a date, it signifies that the date provided is not exact but is close to the actual time frame. This is often used in historical contexts when the precise date is unknown but can be roughly estimated.

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  4. Mar 11, 2024 · What Does Retroactive Date Mean? The retroactive date is the day when insurance coverage begins. Claims filed for dates before this day will not be covered. However, claims filed on or after this date will receive coverage as long as the claim is filed within the limits of the coverage period.

  5. 1. Introduction to Claims-Made Policies. 2. What is a Retroactive Date? 3. Importance of Retroactive Dates. 4. How Retroactive Dates Affect Claims? 5. Understanding the Retroactive Date Endorsement. 6. Retroactive Dates and Prior Acts Coverage. 7. How to Choose a Retroactive Date? 8. Retroactive Dates and Tail Coverage. 9.

  6. May 25, 2017 · When an electronic medical claim is sent through a claims clearinghouse, the clearinghouse puts the claim through a series of edits before sending the claim to the payor. The edits check to see whether basic information required by the specific payor for each claim is present on the claim form.

  7. Nov 17, 2023 · The Context and Use of These Terms. In the realm of health insurance, the terms “Plan Year” and “Calendar Year” are pivotal in defining the time frames for coverage, benefits, and financial responsibilities. Understanding these terms is crucial for both individuals and businesses as they navigate the complexities of health insurance plans.