APQC - Health Insurance Payor

Health Insurance Payor


Medical organizations rely on the insurance payor to follow a claim process, beginning from the initial moment of service, all the way through to the final disbursement of coverage and/or medical expenses. For this to work effectively, health insurance payors must be trained within the necessary systems and processes to maintain regulatory compliance with regards to patient privacy and the medical organization’s expectation that coverage will be provided in a timely and prompt fashion.