What does it mean when a claim is 'approved'?

When a claim is labeled as 'approved,' it signifies that the insurance plan has completed its review process and has officially accepted the claim for payment. This means that the insurance company has assessed the details submitted in the claim, including the services rendered, patient information, and billing codes, and has determined that the services fall within the parameters of the patient’s coverage. Approving a claim allows the insurance provider to proceed with processing the payment to the healthcare provider for the services rendered to the patient.

In contrast, the other options reflect different aspects of the claims process. Confirmation from the healthcare provider about services provided does not necessarily equate to an insurance approval; it is more about validating what care was delivered. The patient's payment status is not a factor in whether a claim is approved; instead, approvals relate directly to the insurance coverage details. Lastly, if a claim is still under review, it means that it has not yet reached a conclusion regarding approval or denial, which is clearly opposite to the state of being 'approved.'