What is the term for a healthcare provider's request for reimbursement from an insurance company?

The term for a healthcare provider's request for reimbursement from an insurance company is an insurance claim. This claim is a formal request that healthcare providers submit to insurers for payment for the services rendered to patients. It includes important information such as the procedures performed, diagnosis codes, and patient details to facilitate the review and approval process by the insurance company.

An insurance claim is the primary means by which providers seek to receive payment for their work and is essential for maintaining the financial health of healthcare practices. Upon receipt of the claim, the insurer evaluates it based on the patient's eligibility, coverage, and benefits outlined in their policy. Once approved, the insurer will reimburse the provider either partially or fully depending on the agreement in the patient's insurance plan.

In contrast, a billing statement is a document sent to patients detailing the charges for services provided, while a cost analysis is more focused on evaluating the costs associated with services versus their returns. A reimbursement form is not the primary term used in healthcare billing but may refer to a specific document used in particular reimbursement scenarios.