A claim is a bill. A doctor's office, lab, hospital, or another provider usually sends a claim to your health plan to pay. You can also submit a claim to your health plan if you pay for some care on your own. A claim is asking to be reimbursed for the amount of your medical care your health plan covers.

WebMD Medical Reference Reviewed by Sarah Goodell on June 21, 2021
© 2021 WebMD, LLC. All rights reserved.

WebMD Special Sections