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Health Insurance

Health Insurance 101: What Is a Claim?

Lauren Smith, MASanjai Sinha, MD
Written by Lauren Smith, MA | Reviewed by Sanjai Sinha, MD
Updated on September 14, 2025
Reviewed by Sanjai Sinha, MD | September 14, 2025

In the digital age, the health insurance process can sometimes seem like a mystery. How does your insurer know when you’ve received medical care? In most cases, you probably didn’t pass on that information yourself, yet a couple weeks after your last doctor appointment, you receive a letter or email that the health insurance company has “processed” your claim. What does this mean?

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Lauren Smith, MA
Written by:
Lauren Smith, MA
Lauren Smith, MA, has worked in health journalism since 2017. Before joining GoodRx, she was the senior health editor and writer for HealthiNation.
Sanjai Sinha, MD
Reviewed by:
Sanjai Sinha, MD
Sanjai Sinha, MD, is a board-certified physician with over 20 years of experience. He specializes in internal medicine.

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