Results 271 to 280 of about 565,970 (312)
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[Claim review in occupational disability insurance].
Versicherungsmedizin, 1995In a deregulated market characterised by increasing competitiveness and improved conditions, care in assessing proposals in additional disability benefits will take on an even more significant role. The assessment has to be based on overall analysis of the moral and objective risk.
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Jurnal Meta Hukum
Motor vehicle damage due to accidents, then every owner and driver cannot be sure what will happen in the future so that it is insured. It is concluded that the insured's obstacles in submitting a claim if there is a risk of accident in the motor vehicle insurance agreement at PT.
Irwan Fauzi, Tri Reni Novita
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Motor vehicle damage due to accidents, then every owner and driver cannot be sure what will happen in the future so that it is insured. It is concluded that the insured's obstacles in submitting a claim if there is a risk of accident in the motor vehicle insurance agreement at PT.
Irwan Fauzi, Tri Reni Novita
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Health Services Management Research, 1993
This paper describes the development of a claim review and payment model utilizing the diagnosis related groups (DRGs) for the fee for service-based payment system of the Korean health insurance. The present review process, which examines all claims manually on a case-by-case basis, has been considered to be inefficient, costly, and time-consuming ...
Y S, Shin, Y K, Yeom, H, Hwang
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This paper describes the development of a claim review and payment model utilizing the diagnosis related groups (DRGs) for the fee for service-based payment system of the Korean health insurance. The present review process, which examines all claims manually on a case-by-case basis, has been considered to be inefficient, costly, and time-consuming ...
Y S, Shin, Y K, Yeom, H, Hwang
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The psychiatrist and health insurance claims review.
The Journal of clinical psychiatry, 1978Expanded health insurance benefits for the treatment of mental illness have obliged psychiatrists to devote more time to justifying psychiatric treatment to claims reviewers. The author, drawing from experience in utilization review and peer review, summarizes factors contributing to the denial of payment for psychiatric services by health insurers ...
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Journal of Advances in Developmental Research
: Health Insurance (HI) pays for medical as well as surgical expenditures incurred by the insured person, thereby rendering financial safety against the expensive costs related to Healthcare (HC) services. HC costs are effectively managed via the process of Healthcare Insurance Claims (HICs), where insured individuals submit claims to their insurance ...
Vineet KR Mishra - +2 more
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: Health Insurance (HI) pays for medical as well as surgical expenditures incurred by the insured person, thereby rendering financial safety against the expensive costs related to Healthcare (HC) services. HC costs are effectively managed via the process of Healthcare Insurance Claims (HICs), where insured individuals submit claims to their insurance ...
Vineet KR Mishra - +2 more
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Fraud Detection in Insurance Claim System: A Review
2022 Second International Conference on Artificial Intelligence and Smart Energy (ICAIS), 2022Sandip Vyas, Shilpa Serasiya
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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
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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
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[Review of claims from the Patient Insurance: spinal anesthesia is not completely without risks].
Lakartidningen, 2001The 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
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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 ...
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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 ...
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The Korean Journal of Health Service Management, 2017
Ko-Eun Lee, Kyung-Hwa Kim
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Ko-Eun Lee, Kyung-Hwa Kim
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