The term « claims settlement » is used in the insurance industry to refer to or decline the claims payment process after claims have been compared to benefit or coverage requirements. The decision-making process involves taking a claim from an insured person and then using software to process claims and make a decision or doing it manually. When this is done automatically with software or a web subscription, the claims process is called automatic decision. Claims automation often improves efficiency and reduces the cost of manual claims decision-making. Many claims are filed on paper and processed manually by insurance employees. n. the act of making a judicial decision, such as a judgment or order. The term is used especially in bankruptcy proceedings, where the decision declaring a debtor insolvent is called arbitration. (See: Bankruptcy) In this context, the claims adjudication process is also referred to as the « medical billing defence. » To be decided, a case must be « ready to be decided ». This means that the facts of the case have matured to the point where they constitute a genuine substantive controversy justifying judicial intervention. In fact, Article III, Section 2, Term 1 of the United States Constitution does not allow courts to decide hypothetical questions or possibilities, but only actual cases and controversies.
Arbitration refers to the legal procedure for settling a dispute or deciding a case. When a lawsuit is brought, the courts determine the rights of the parties at that point in time by analyzing the legal advantages and disadvantages of their actions at the time they occurred. Subsequently, an arbitrator is appointed and a notice is sent to the defendant. The opposing party or defendant defends itself against the claimant`s right to a decision. The adjudicator gives the claimant and respondent an opportunity to present their arguments at a hearing and make a final decision. This is no different than an arbitrator in an arbitration hearing to resolve a commercial dispute. In the case of a minor, the term « decided » may refer to children who are subject to the jurisdiction of a court, usually because of delinquent behaviour and the absence of a legal guardian who could be assigned to him. A decision about a child`s addiction or neglect may also lead to the conclusion that a child needs services. This legal process is different from other litigation or evidence-based litigation. Rather, it is used to settle disputes between private parties, politicians and a private party, public institutions and civil servants. In the health sector, for example, the decision may determine a carrier`s liability for the monetary claims of an insured person.
c. 1695, in the transitive sense The formal rules of evidence and procedure govern the process by which the initiating party or the Trier makes a communication in which the disputed facts are established and the applicable laws are determined. The notice sometimes also describes the nature of the dispute between the parties and indicates where and when the dispute occurred, as well as the desired outcome according to the law. However, there are no specific requirements for the publication of the decision. In Raleigh, North Carolina, the term « judgment » in a juvenile court is the equivalent of the term « conviction » for an adult in a criminal court. Legal proceedings are conducted in state courts. These sample phrases are automatically selected from various online information sources to reflect the current use of the word « arbitration ». The views expressed in the examples do not represent the views of Merriam-Webster or its editors.
Send us your feedback. Judging is one of many terms that testify to the influence of juice, the Latin word for « law, » on our legal language. Adjudicater comes from the Latin verb adjudicare, from judicare, meaning « to judge, » which in turn goes back to the Latin name judex, meaning « judge. » English has other jutex words such as judgment, justice, justice and prejudice. If we admit other evidence, we discover that the root of jutex is juice. What`s the verdict? The Latin words « law » often prevail in English-speaking courtrooms. In addition to the words judex, jury, justice, injury and perjury finally come from the Latin juice. Once the claims decision process is complete, the insurance company often sends a letter to the person making the claim, outlining the outcome. The letter, sometimes called a referral recommendation, explains whether the request was denied or approved.