Glossary · Claims and appeals
What is a claim?
A claim is a request for payment that you or your health care provider sends to your insurer for items or services you think are covered.
Definition and figures from HealthCare.gov glossary, checked October 23, 2026. This page explains the term; it does not recommend a plan.
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Claim: the facts
| Item | Fact | Source |
|---|---|---|
| Sent by | You or your provider | HealthCare.gov glossary: Claim |
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Questions
What does claim mean in health insurance?
A claim is a request for payment that you or your health care provider sends to your insurer for items or services you think are covered.