What is the primary purpose of claims management in health care finance?

The primary purpose of claims management in health care finance is to process, track, and resolve claims for reimbursement. This function is crucial because it ensures that health care providers receive the payment they are owed for services rendered to patients. An efficient claims management system helps in accurately submitting claims to insurance companies and ensures timely follow-ups for any issues, minimizing delays in payment.

By effectively managing claims, health care organizations can reduce the risk of claim denials and rejections, leading to improved cash flow and financial stability. The process involves the detailed organization of patient data, coding of services provided, and meticulous submission of claims, which ultimately supports the financial health of the organization. Proper claims management directly impacts the organization's bottom line and can influence broader aspects of health care delivery, including resource allocation and service availability.