Results 231 to 240 of about 564,598 (265)
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USING MACHINE LEARNING TO OPTIMIZE LIFE INSURANCE CLAIM TRIAGE PROCESSES VIA ANOMALY DETECTION IN DATABRICKS: PRIORITIZING HIGH-RISK CLAIMS FOR HUMAN REVIEW

2022
Life insurance companies and policyholders need quick claim processing to receive payment properly and reduceneedless payments. Standard claim triage methods require too much time and make mistakes that worsen businessexpenses and delay payment to policyholders. Machine learning systems have transformed insurance functions bydeploying anomaly detection
openaire   +1 more source

[Review of claims from the Patient Insurance: spinal anesthesia is not completely without risks].

Lakartidningen, 2001
The Patient Injury Claims Department in Sweden grants compensation to patients who have incurred injury in the national health service system. All claims involving spinal and epidural anaesthesia were studied during the period 1997-1999. Serious neurological complications were behind 29 out of 65 claims.
V, Moen, L, Irestedt, L, Räf
openaire   +1 more source

Results of a Pilot Study Reviewing Dermatitis Claims Submitted to the Ontario Workplace Safety and Insurance Board

Journal of Cutaneous Medicine and Surgery, 2000
Background: Workers who develop occupational skin disease are often eligible for workers' compensation benefits; however, there is little known about the decision-making process for adjudicating claims submitted for work-related skin problems. Objective: The objective of this pilot study was to test a file abstraction instrument and determine the ...
openaire   +2 more sources

Insurance Claims Review and Assessment Task Effects on the Insurance Claims Reviewer and Evaluator in Hospitals

The Korean Journal of Health Service Management, 2017
Ko-Eun Lee, Kyung-Hwa Kim
openaire   +1 more source

Adverse events during pediatric dental anesthesia and sedation: a review of closed malpractice insurance claims.

Pediatric dentistry, 2013
The purpose of this study of closed malpractice insurance claims was to provide descriptive data of adverse events related to child sedation and anesthesia in the dental office.The malpractice claims databases of two professional liability carriers were searched using pre-determined keywords for all closed claims involving anesthesia in pediatric ...
Maggie C, Chicka   +4 more
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The National Association of Insurance Commissioners (NAIC) Medical Malpractice Closed Claim Study 1975-1978. A review of dermatologic claims.

Journal of the American Academy of Dermatology, 1982
The National Association of Insurance Commissioners (NAIC) Medical Malpractice Closed Claim Study 1975-1978 is the first major uniform nationwide survey of its kind. A total of 71,782 closed claims were reviewed during a 3 1/2-year period. Approximately one third of these claims involved indemnity payments.
openaire   +1 more source

Transforming Claims and Care: A Comprehensive Review of the U.S. Health Insurance TPA Market

The U.S. Health Insurance Third-Party Administrator (TPA) Market is experiencing steady growth, valued at USD 100.55 billion in 2024 and projected to reach USD 129.08 billion by 2030 at a CAGR of 3.9% from 2025–2030. This manuscript examines the driving forces, challenges, and opportunities shaping the market.
openaire   +1 more source

Minimum information about clinical artificial intelligence modeling: the MI-CLAIM checklist

Nature Medicine, 2020
Beau Norgeot   +2 more
exaly  

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