Adjudication or claim settlement is the processing of an insurance claim through a series of edits for final determination of coverage (benefits) for possible payment.
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A decree in the bankruptcy procedure between the defendant and the creditors is an example of an adjudication. An adjudication is a legal ruling or judgement, typically final, but it can also refer to the process of settling a legal matter or claim through the court or justice system.
An adjudication typically indicates the verdict or decision in a case that will decide how the issue will be handled moving forward.
Adjudication can also more broadly apply to any formal processes of judgement or ruling that result in a final determination outside of a legal process, such as the procedure for validating an insurance claim.
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