Concurrent Care Claim
A Concurrent Care Claim is a claim that is reconsidered
after an initial approval for care was made and results in a
reduction or termination of a benefit. (An example of this
type of claim would be an inpatient hospital stay originally
certified for five days that is reviewed at three days to
determine if the full five days is appropriate.) In this
situation, a decision to reduce or terminate treatment is
made concurrently with the provision of treatment.
