سلام معنی claim adjudication در این متن چیه؟

Question

Current existing patient billing management systems are at best complex and prone to manipulation by the

service providers – today, an estimated 50% of healthcare costs are fraudulent, resulting from excessive

billing or billing for non-performed services. For example, in US alone, Medicare fraud caused around $30

million in losses in 2016 (Das, 2017). It’s believed that the advent of blockchain powered healthcare

systems is expected to provide realistic solutions or minimizing the medical billing-related frauds – through

automation of the majority of the claim adjudication and payment processing activities – that is, blockchain

systems would help eliminate the need for intermediaries – and thus, reduce the administrative costs and

time for providers and payers.

Answer 1

بررسی و سنجش اسناد دعاوی یا درخواست های غرامت