MLchartDataset catalogue

Peer review

Term · Insurance and risk management · MLC-T-INS-003713

A process in healthcare where medical professionals evaluate the quality and appropriateness of services provided by their colleagues. This assessment often involves examining patient records, treatment plans, and outcomes to maintain standards of care. In insurance, peer reviews can determine the medical necessity of treatments for claims adjudication.

Table 1. Record
IdentifierMLC-T-INS-003713
FieldInsurance and risk management
Record as JSON 
{
  "id": "MLC-T-INS-003713",
  "term": "Peer review",
  "field": "Insurance and risk management",
  "definition": "A process in healthcare where medical professionals evaluate the quality and appropriateness of services provided by their colleagues. This assessment often involves examining patient records, treatment plans, and outcomes to maintain standards of care. In insurance, peer reviews can determine the medical necessity of treatments for claims adjudication.",
  "url": "https://mlchart.com/terminology/insurance/peer-review/"
}

Record 2,559 of 3,748 in Insurance and risk management terminology (MLC-0106). Request the full dataset.