Insurance
Medical Claim — Reimbursement to Insured
Reimbursing an insured who paid out-of-pocket for treatment outside the network.
| Account Name | Type | Debit ($) | Credit ($) |
|---|---|---|---|
| Outstanding Claims Reserve — Medical | Liability (-) | 1,200.00 | - |
| Cash / Bank (Reimbursement) | Asset (-) | - | 1,200.00 |
💡 Accountant's Note
Out-of-network reimbursements typically require the insured to submit original invoices. The claim is validated against the policy benefits and paid subject to co-payment, deductibles, and benefit limits.
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