Explain to Mr. Jones the life cycle of his insurance claim, discussion help

Mr. Alex just called because he is very confused about his new insurance. Prior to this Mr. Jones did not have any insurance but since the Affordable Care Act, he now has purchased a private policy. He needs you to explain what happens from the time he sees the doctor, receives treatment, to finding out what the insurance company will pay. Explain to Mr. Jones the life cycle of his insurance claim.

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