Sentences with phrase «claims database with»

Utilizing Optum, a large national commercial insurance claims database with data on 50 million individuals over a 12 year period, the researchers identified nearly 3,000 individuals who were prescribed opioids for chronic pain that had been treated in the emergency department and / or as an inpatient following a nonfatal opioid overdose.
Designed and modeled Teradata based claim database with focus on handling large volume of data (1 billion records per year)

Not exact matches

Many tasks for which computer owners usually buy separate software — such as general - ledger accounting, database management, and inventory management — can be accomplished with VisiCalc - type programs, claims Bob Korngold, co-publisher of the newsletter Spread Sheet.
A Bezop spokesperson admitted to the breach, claiming the database was inadvertently exposed online while the dev team dealt with a DDoS attack on January 8.
«When looking at the top 10 gluten - free food product claims in Mintel's Global New Products Database, after gluten - free and low / no / reduced allergen, there also are product claims associated with being natural and free of additives or preservatives,» adds Topper.
According to Mintel Global New Products Database (GNPD), the number of food and drink launches worldwide with «economy claims» increased 25 % between 2011 and 2016.
Supporting commercial lines businesses Progress on fixed fees for costs of noise - induced hearing loss claims Support for fair compensation for mesothelioma sufferers Expansion of the Insurance Fraud Bureau's scope to commercial liability Campaigning for solutions fit for our future Our Flood Free Homes campaign Forward thinking policy for data and cyber Engaging Government to support the role of income protection Delivery of Flood Re, a world first solution for affordable flood cover Fighting fraud Partnering with Government on the Insurance Fraud Taskforce Renewing the Insurance Fraud Enforcement Department Securing new insurer access to the DVLA registered owners database Influencing sensible regulation On Solvency II, we: Secured changes to secondary legislation Clarified treatment of deferred tax Negotiated a favourable calibration of the EIOPA's fundamental spread Supporting insurance businesses Pushing for sensible development of global capital standards Securing better targeted tax legislation Managing the impact of international financial reporting standards.
The researchers combined data from lung cancer patients in The Society of Thoracic Surgeons (STS) General Thoracic Surgery Database (GTSD) with claims data from the Centers for Medicare & Medicaid Services (CMS).
You may also want to consider the following questions: They claimed that they have the biggest database of singles when compared with the other dating sites.
The Home Office has been accused of having «outdated» views on sexuality, after it rejected an asylum claim made by a Nigerian lesbian Nigerian Dating scam aka Nigerian romance scam, the database of Nigerian dating scammers with photos.
They claimed that they have the biggest database of singles when compared with the other dating sites.
The artists in the following tables are listed with both their claimed Databases Our databases gives you access to information covering all the CPUT disDatabases Our databases gives you access to information covering all the CPUT disdatabases gives you access to information covering all the CPUT disciplines.
The vehicle itself is not equipped with the laser sensor, but with a database created using a fleet of LIDAR - equipped vehicles, which Cadillac claims have mapped «every limited - access highway in the US and Canada.»
He said based on the School and Amount of my Loans, which he somehow, said they had access to due to their shared database, they confirmed my access to one of their «Programs», for a one - time $ 500 «fee», that would completely eliminate my balance, even claiming to have registered my with the Dept. of Ed.
Public Events - Saturday, September 23, 4 p.m.: Canadian Art Magazine's Gallery Day with talk by Lindsay Nixon - Saturday, September 30, 7 p.m. to 7 a.m.: Nuit Blanche at Onsite Gallery - Tuesday, October 10, 7 p.m.: Lisa Myers Artist Talk - Friday, October 20, 5 p.m.: imagineNATIVE Art Crawl Kick - Off - Saturday, November 4, 2 p.m.: Mark Igloliorte Artist Talk - Thursday, November 16, 12 to 4 p.m.: Wiki - Edit - a-Thon with the Inuit Artist Database - Thursday, November 16, 6 p.m.: Panel Talk: Indigenous Tattoo Revitalization with Native Women in the Arts - Saturday, December 2, 2 p.m.: Land Claims: raise a flag Pennant Workshop and Artist Presentation - Sunday, December 3, 2 p.m.: Indigenous Art Today: Lindsay Nixon & Ryan Rice Supporters
They traced it to someone called Glenn on Twitter who made the claim (a red flag in itself), but he showed no evidence on requests from the media, and as far as we know he is still looking for it, and tellingly no one went to help him with looking at 120 million votes in whatever database he was using, which no one knows.
We represent a number of successful state - wide health information exchanges, all - payer claims databases and related initiatives, as well as advise on national HIT infrastructure projects and issues associated with electronic health records.
The class claims that the code was used to send private information to a database that was then shared with a number of other defendants.
Our database of richly detailed, qualitative interviews focused directly on processes, situations, and problems of injured workers with long - term compensation claims who have experienced problems with return to work.
Our algorithm compares the supplied information with a large database of real legal problems with known outcomes (e. g. succesful insurance claims) and trains a model on the most relevant documents to make a prediction.
In Rothmans, Justice Cyr of the New Brunswick Queen's Bench dismissed a similar application by PMI for disclosure of anonymized data related to health care benefits in an action under New Brunswick's comparable version of the Act.3 Interpreting provisions with identical language, Justice Cyr rejected the claim that anonymizing data from the databases would be sufficient to protect privacy.
Despite best efforts of individual legal publishers, there are many understandable reasons for incomplete databases: — problems with obtaining access to cases available on one service that are no longer available from the source, — copyright claims and the threat of litigation by traditional print publishers respecting print law report series, — the control exercised by SOQUIJ over access to Quebec cases, and / or — the lack of the will by the publisher to identify and and acquire missing cases identified by means of a database audit.
A C.L.U.E. score — for Comprehensive Loss Underwriting Exchange — is based on a database, maintained by LexisNexis, that tracks claims with major insurers.
Insurers are likely to report the use of cell phone insurance on your C.L.U.E. report as a claim, a little - known industry database that compiles all your interactions with insurers.
Maintain a good credit history, only file insurance claims when they're absolutely necessary (insurance companies do keep track and share your claims history with a national database), and take advantage of discounts such as good student discounts, good driver discounts, and discounts for consumers who double up on home and auto insurance with a single provider, or life insurance and homeowners insurance just to name a few examples.
With the new firmware updates, the company claims that G950 / G955 - FXXU 1CRAP Android 8.0 firmware files, which created the bug, have been eliminated from its database and servers.
How do I handle requests for such references?Thank you so much for your help!CherylCHERYL M. EARLE3407 Old Dobbin Road, Montgomery, Alabama 36116 - 1903Home Phone: 334-215-3706 Cell Phone: 334-233-2631 Fax: 334-273-0477 E-mail: [email protected] position managing legal discovery and document review with opportunity to assist attorneys with civil litigationBAR ADMISSIONAlabama State Bar, 1999LAW - RELATED EXPERIENCELaw Firm, AlabamaResearch Attorney for Special Projects, Mass Torts Department, November 2001 — February 2008 • Managed Multi-District Litigation (MDL) Document Depository (September 2002 to February 2008) o Reviewed more than 1 million pages of evidentiary documents for litigation purposes and for inclusion in electronic databaseso Coordinated document review assignments with attorneys at local depository and at other sites across the USo Retrieved, reviewed and coded documents in Concordance and Summation legal databaseso Prepared memoranda and spreadsheets providing detailed analysis of discovery materials • Aided attorneys and support staff with processing and preparation of personal injury claims and litigationo Conducted legal research and drafted pleadingso Conducted supplementary online research for additional documents and information pertinent to litigationo Assisted with preparation of correspondence to clients and referring attorneyso Contacted clients for additional information needed in case preparation, litigation, and potential settlementso Prepared and input case intakes and referrals into databaseLaw School, AlabamaStudent Intern, Alabama Disabilities Advocacy Program (ADAP), August 1996 — June 1997 • Participated in law school clinical program under third - year law student practice rule (as authorized by Alabama Supreme Court) o Assisted attorneys and advocates in cases involving mentally ill patients confined to state mental health facilitieso Interviewed clients in person (at state facilities) and over the phoneo Worked with clients, attorneys, and social workers to investigate and resolve issues concerning involuntary confinement and treatmento Aided in legal research on an appellate brief submitted to the U. S. Court of Appeals for the Eleventh Circuit (ruling granted in favor of our client) Faculty Research Assistant for Library Services, Bounds Law Library, March 1996 — June 1997 • Prepared research and teaching materials for law school faculty; worked 20 hours per week while matriculating 10 - 15 hours per semester) o Investigated copyright issues related to procuring and reproducing texts for academic useo Conducted legal research using WESTLAW, LEXIS and the InternetADDITIONAL RELEVANT EXPERIENCEManufacturing Company (MC), Montgomery, AlabamaAdministrative Assistant and Cost Analyst, Materials Purchasing Department, April 1999 — September 2001 • Assisted materials buyers in negotiating and preparing commodities contracts between raw materials suppliers and MC for manufacturing plants in the US and Mexicoo Assisted Legal Department at MC's corporate headquarters with coordination and preparation of documents for litigationo Notified and educated suppliers about MC's freight - on - board policy and its corresponding Uniform Commercial Code (UCC) provisions; result was the reduction of freight claims for both the company and its supplierso Prepared contracts and purchase orders for raw materials and capital projects involving plant maintenanceo Solicited price quotations from current vendors and established Excel spreadsheet format which simplified quote submission process and allowed MC to track and compare usage volumes and costs over timeo Prepared and analyzed cost reports used by materials buyers and production planners in purchasing decisions, including cost reductions, materials consolidation, and selection of vendorso Acted as liaison between vendors and the Purchasing, Transportation and Accounting Departments on issues concerning inbound freight, commercial carriers, and payment terms for commodities, resulting in reductions in freight costs and greater payment discounts for raw materialso Established online databases and printed directories for the Purchasing Department, allowing buyers to have easier and faster access to current vendor informationo Completed Year 2000 (Y2K) compliance project, which involved data collection and communication with MC's past, present, and potential materials suppliers and service providersNot - For - Profit Organization, AlabamaAdministrative Assistant, Combined Federal Campaign, September 1998 — January 1999 • Aided Campaign Director with 1998 Federal Campaigns (CFCs) in City 1 and City 2, which together generated nearly $ 700,000 for more than 1,000 local, national and international charitieso Prepared weekly reports on donations using WordPerfect, Microsoft Word, Excel and dBase IVo Wrote script for Talent Showcase at City 1's 1998 CFC Kickoffo Assisted Director with merger of the City 1 and City 2 CFCs in 1999Regional Bank, AlabamaAdministrative Assistant, Year 2000 (Y2K) Department, March — June 1998 • Worked with Vice President of Corporate Projects on short - term project for the bank's Y2K Departmento Analyzed and processed data on Y2K readiness for all branches of Bank throughout the southeastern USo Organized meetings for personnel of Banko Communicated with vendors of computer hardware, software, and office equipment to request information on Y2K complianceo Prepared compliance files for Federal Reserve auditso Prepared in - house memoranda and reports using Microsoft Word and ExcelRecord / Music Promotion Company, AlabamaRecord Pool Co-Founder; Office Manager, September 1990 — December 1991 • Co-founded record pool to enhance promotion of music in Alabama and the southeastern USo Procured and distributed records from major and independent labels for club, radio and mobile disc jockeyso Coordinated jointly sponsored promotional events with record companies, radio stations and clubso Designed, wrote, and published bi-weekly reports and brochures to inform the music industry of the progress and popularity of music and performers in the region, with specific focus on the Alabama music sceneMajor University, AlabamaGraduate Research Assistant, AUM Department of Marketing, June 1989 — August 1990 • Worked 13 - 20 hours per week as a research assistant to Marketing faculty while carrying a full course load in the MBA programo Analyzed consumer surveys used in academic researcho Assisted Conference Chairperson with coordination for Atlantic Marketing Association (AMA) annual meeting (October 1989) o Co-authored five - year index and classification of AMA Proceedings (published Fall 1991) EDUCATIONLaw School, AlabamaJuris Doctor (JD), 1997 • Scholarshipso Seybourn H. Lynne Scholarship, 1996 - 97o Dexter C. Hobbs Memorial Scholarship, 1995 - 96o E. W. Godbey Memorial Scholarship, 1994 - 95 • Honorso Who's Who Among American Law School Students, 1996 - 94o Arthur Davis Shores Award, 1997 • Activitieso Frederick Douglass Moot Court Team Manager, 1996 - 97 Southern Regional Competition, Second Place National Competition, Eighth Placeo John A. Campbell Moot Court Competition, Spring 1996o Black Law Students Association Delegate, BLSA National Convention, 1997 Co-Chairperson, Public Relations Committee, 1996 - 97 Chairperson, Public Relations Committee, 1995 - 96 BLSA President's Award, 1996 and 1997o American Bar Association, 1996 - 97 Entertainment and Sports Industries Forum Intellectual Property Section Law Student Divisiono LAWS Student Group Leader, 1995 - 96Major University, AlabamaMaster of Business Administration (MBA), 1990Bachelor of Science in Business Administration (B.S.B.A.), 1988 (Major: Marketing — Advertising and Promotion Track) • Honorso Dean's List • Activitieso National Student Advertising Competition Team, 1988 - 90 Seventh District Competition: Third Place, 1990o Marketing Club, 1987 - 90 Vice President — Career Development, 1988 - 89o Public Relations / Advertising (PR / AD) Club, 1988 - 90 Charter Member, 1988 Active in fund - raising and membership driveso Theater Guild, 1988 - 90 Screening Committee, 1989REFERENCESAvailable upon request
Reduced fraud by developing returns and claims procedures and creating Access databases that assisted with gathering, tracking, and reporting information.
Assign tasks of investigating rejected claim, verifying information with the health provider, and updating the new details into the database
• Incorporated an very multifaceted insurance scheme with major insurance corporations» database that gave rise to easy clients» claims details
• Greet patients as they arrive into facility and provide them with appropriate information • Answer telephone and guide callers regarding medical procedures • Schedule and reschedule patients» appointments • Cancel patients» appointments and provide them with new dates • Provide medical billing and coding duties • Take and record patients» vitals • Provide education to patients regarding medical procedures • Prepare patients for medical procedures • Obtain patients» information and record it in the database • Pull patients» records for doctors» review • Arrange for hospital admissions • Direct calls and messages to appropriate hospital or medical office staff • Call up patients and remind them of their appointments • Manage filing and record keeping activities • Order supplies and forms for the medical office • Manage inventory of office supplies • Submit insurance claims • Update patients» insurance information • Ensure completeness and accuracy of patients» insurance forms prior to submitting • Assist doctors by providing limited procedural support • Obtain and process new patients» referrals • Take and record patients» demographic location information • Initiate and maintain correspondence with patients and families • Liaise with insurance companies • Verify clients» insurance information
• Well versed in dental consultant coordination and appointment shifting in case of last moment changes • Expert in insurance claims verification and processing • Track record of developing productive PR with clients, prospective clients and vendors • Adept at building maintenance, supplies replenishment and hygiene upkeep • Profound IT skills with the ability to manage patient database effectively
Includes setting up patient databases, extensive experience with ICD.10 & CPT codes, posting insurance / patient payments, insurance billing (primary & secondary), generate patient statements, follow - up on submitted claims and insurance aging; resubmits claims or resolves problems.
• Assess all insurance claims against patient services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on medical insurance forms • Post insurance billing information data into predefined database systems • Make list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including medical histories, insurance identification and diagnosis
• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials
• Updated claims files with payment information, transferred copies to policyholders and accountants, and entered details into electronic records database.
• Recorded all claims in the database after verifying accuracy of the data • Generated daily reports for the management • Communicated with adjusters in order to ensure smooth claims support • Documented claims information so that customers can benefit from smooth customer services • Worked on reassigned claims as and when necessary • Managed general office tasks including; maintaining supplies for staff, looking through incoming mail, preparing outgoing correspondence and answer customer phone calls
The task force has convened seven times in four months, meeting with representatives of the insurance and claims database industries, state and federal regulators, and consumer advocates.
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