Post by Prateek Jalgaonkar

Lead Analytics Engineer @ Cigna Evernorth | Building Scalable Healthcare Analytics Systems

πŸ’‘ HealthTech Word of the Day: Adjudication Adjudication = the process a health insurance payer uses to review, validate, and decide how much to pay for a claim. In simple terms β†’ πŸ‘‰ Adjudication = the claim’s β€œverdict” in the RCM process. Why it matters in HealthTech: βœ… It’s one of the data-heavy steps in the Revenue Cycle βœ… Directly impacts cash flow, denials, and reimbursement speed βœ… Powers analytics for claim accuracy, fraud detection & automation If you're in data, engineering, architecture, product, or RCM, understanding adjudication helps you build smarter systems and reduce claim friction. #healthtech #dataengineer #dataarchitecture #dataanalytics #rcm #healthcaredata #revenuecyclemanagement