Sentences with phrase «includes health insurance claims»

Not exact matches

Anthem Blue Cross announced that it's launching a new platform to unite multiple kinds of digital health data — including electronic medical records, insurance claims info, and even health and wellness app stats — into an overarching product called Engage.

Several of the services will focus on population health management, including a predictive system that analyzes patient health records and insurance claims to anticipate patients» future needs (and health care providers» costs).

Among them are the rights to: bullet joint parenting; bullet joint adoption; bullet joint foster care, custody, and visitation (including non-biological parents); bullet status as next - of - kin for hospital visits and medical decisions where one partner is too ill to be competent; bullet joint insurance policies for home, auto and health; bullet dissolution and divorce protections such as community property and child support; bullet immigration and residency for partners from other countries; bullet inheritance automatically in the absence of a will; bullet joint leases with automatic renewal rights in the event one partner dies or leaves the house or apartment; bullet inheritance of jointly - owned real and personal property through the right of survivorship (which avoids the time and expense and taxes in probate); bullet benefits such as annuities, pension plans, Social Security, and Medicare; bullet spousal exemptions to property tax increases upon the death of one partner who is a co-owner of the home; bullet veterans» discounts on medical care, education, and home loans; joint filing of tax returns; bullet joint filing of customs claims when traveling; bullet wrongful death benefits for a surviving partner and children; bullet bereavement or sick leave to care for a partner or child; bullet decision - making power with respect to whether a deceased partner will be cremated or not and where to bury him or her; bullet crime victims» recovery benefits; bullet loss of consortium tort benefits; bullet domestic violence protection orders; bullet judicial protections and evidentiary immunity; bullet and more...

The report said the claims of agency savings would be difficult to achieve, given that government departments have held overall spending growth to 1.3 percent since the cap was begun seven years ago — including rising contractual costs for unionized workers» salaries and health insurance.

The IRS does allow taxpayers to claim many medical and dental expenses as itemized deductions on IRS Schedule A. Eligible deductions include physicians» fees, hospital expenses, prescription drug payments and certain health insurance premiums.

The extensive insurance advice provides a variety of information on topics including auto insurance, home / renters insurance, health insurance, and life insurance - offering easily accessible articles revealing tips on topics such as buying insurance, insurance policy questions, amounts and types of insurance coverage, addressing complaints, and claims.

- Name, address (e-mail address, if applicable), phone number, date of birth, Social Security Number; - Driver's License Number, and accident and violation history; - Credit information and information about previous insurance transactions; - With your authorization, health information; and - Payment & account history, including claims information.

Nationwide is the first and largest provider of pet health insurance in the U.S., and reports that 1.3 million claims were filed in 2015 for obesity - related conditions including arthritis, bladder / urinary tract infections, diabetes, kidney and liver diseases, asthma, and various forms of pain and immobility.

All our ExactCare ® products include travel health insurance, coverage for trip cancellation and interruption, «pic - and - a-click» claim filing for many claims, global travel assistance, and instant * claim payments via BHTP Burst ®.

Insurance Broking, including brokers» duties to clients on preparation of proposals, notification of insured events and other communications with underwriters; Underwriting decisions; Reports for insured parties and underwriters in cases where underwriters are seeking to avoid a policy; Disputes between insurers and reinsurers; and Personal insurance cover, including life and health insurance, residential property, PPI and motoInsurance Broking, including brokers» duties to clients on preparation of proposals, notification of insured events and other communications with underwriters; Underwriting decisions; Reports for insured parties and underwriters in cases where underwriters are seeking to avoid a policy; Disputes between insurers and reinsurers; and Personal insurance cover, including life and health insurance, residential property, PPI and motoinsurance cover, including life and health insurance, residential property, PPI and motoinsurance, residential property, PPI and motor claims.

Among others, Mr. Ferdinand's experience includes, appellate litigation; bankruptcy adversary proceedings; bid protests, debarments, and appeals; breach of contract and Uniform Commercial Code claims; broker disputes; commercial landlord - tenant actions, including commercial evictions; condominium association litigation; consumer fraud and deceptive trade practices act claims; corporate governance; directors» and officers» claims; ethics and professional liability; health law; injunctions; insurance issues; lien claims, including commercial and residential construction liens; planning board actions; post-judgment collection; restrictive covenants; shareholder and partnership disputes; and shareholder derivative claims.

We have significant experience in defending many categories of professionals, including lawyers; accountants; insurance agents and brokers; real estate agents, brokers, and appraisers; environmental consultants and engineers; architects; benefits consultants; claims adjusters; third - party administrators; allied health professionals; billboard companies; reporters; and other media entities.

Bill 177 is omnibus legislation which, among other things, includes several changes relating to the enforcement of the Occupational Health and Safety Act (the «OHSA») and amends the Workplace Safety and Insurance Act, 1997 (the «WSIA») to include transition provisions for Workplace Safety and Insurance Board («WSIB») benefits claims due to chronic mental stress.

Business Development: Brokering various business dealings that further the diversification of Indian economies Developing and accessing commercial financial programs and services for tribal governments, including tax - exempt offerings and federally - guaranteed housing loans Serving as issuer or underwriter's counsel in tribal bond issuances Ensuring tribal compliance with Bank Secrecy Act and other federal financial regulatory requirements Handling federal and state income, excise, B&O, property and other tax matters for tribes and tribal businesses Chartering tribal business enterprises under tribal, state and federal law Registering and protecting tribal trademarks and copyrights Negotiating franchise agreements for restaurants and retail stores on Indian reservations Custom - tailoring construction contracts for tribes and general contractors Helping secure federal SBA 8 (a) and other contracting preferences for Indian - owned businesses Facilitating contractual relations between tribes and tribal casinos, and gaming vendors Building tribal workers» compensation and self - insurance programs Government Relations: Handling state and federal regulatory matters in the areas of tribal gaming, environmental and cultural resources, workers» compensation, taxation, health care and education Negotiating tribal - state gaming compacts and fuel and cigarette compacts, and inter-local land use and law enforcement agreements Advocacy before the Washington State Gambling Commission, Washington Indian Gaming Association and National Indian Gaming Commission Preparing tribal codes and regulations, including tribal court, commercial, gaming, taxation, energy development, environmental and cultural resources protection, labor & employment, and workers» compensation laws Developing employee handbooks, manuals and personnel policies Advocacy in areas of treaty rights, gaming, jurisdiction, taxation, environmental and cultural resource protection Brokering fee - to - trust and related real estate and jurisdictional transactions Litigation & Appellate Services: Handling complex Indian law litigation, including commercial, labor & employment, tax, land use, treaty rights, natural and cultural resource matters Litigating tribal trust mismanagement claims against the United States, and evaluating tribal and individual property claims under the Indian Claims Limitation Act Defending tribes and tribal insureds from tort claims brought against them in tribal, state and federal courts, including defense tenders pursuant to the Federal Tort Claims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rclaims against the United States, and evaluating tribal and individual property claims under the Indian Claims Limitation Act Defending tribes and tribal insureds from tort claims brought against them in tribal, state and federal courts, including defense tenders pursuant to the Federal Tort Claims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rclaims under the Indian Claims Limitation Act Defending tribes and tribal insureds from tort claims brought against them in tribal, state and federal courts, including defense tenders pursuant to the Federal Tort Claims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rClaims Limitation Act Defending tribes and tribal insureds from tort claims brought against them in tribal, state and federal courts, including defense tenders pursuant to the Federal Tort Claims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rclaims brought against them in tribal, state and federal courts, including defense tenders pursuant to the Federal Tort Claims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rClaims Act Assisting tribal insureds in insurance coverage negotiations, and litigation Representing individual tribal members in tribal and state civil and criminal proceedings, including BIA prosecutions and Indian probate proceedings Assisting tribal governments with tribal, state and federal court appeals, including the preparation of amicus curiae briefs Our Indian law & gaming attorneys collaborate to publish the quarterly «Indian Legal Advisor ``, designed to provide Indian Country valuable information about legal and political developments affecting tribal rights.

These include insurance coverage disputes, property insurance litigation, personal injury, motor vehicle and accident benefits, health / life / disability insurance claims, professional and products liability, and all commercial and personal lines.

Brad has handled matters for a multitude of clients, including: a multi-facility hospital chain in Orlando for 23 years, a large multi-national human resources consulting firm, the largest ambulance service in Central Florida, a city in auto liability cases for four years, the largest medical center in Volusia County for seven years, various property management companies in premises liability cases, a specialty insurance company in mental health claims and a large professional liability insurance company in long - term health claims.

Glyn Jones (who is noted for his «great ability to cut through the important issues and save time and costs») heads the defendant personal injury practice, which includes a six - partner team focused on catastrophic injury claims, as well as teams dedicated to occupational health diseases (particularly deafness), motor claims, costs issues and insurance fraud.

Since joining FLR, Andrea has worked on numerous pleadings and memoranda involving motions to dismiss, to compel discovery, and for summary judgment on issues such as contracts (including personal services contracts), a wide variety of tort - based claims, punitive damages, privilege and sovereign immunity, insurance coverage, family law, Florida Deceptive and Unfair Trade Practices Act, Health Care Quality Improvement Act immunity and peer review, and estates and trusts.

Those usually include things like how to deal with insurance company adjusters, auto accident claim forms, employers, medical care providers, and health insurance companies.

We will handle EVERYTHING involved in your case, including property damages, rental car, disability, employment and personnel issues, health insurance disputes or delays, credit rating protection, and of course, your injury claim.

Since joining Branch MacMaster in 1998, Don has acted for the defence and for plaintiffs in numerous class action law suits, including products liability, life insurance and health claims.

Don has participated in the defence of a number of class action law suits, including products liability, insurance and health claims... (more)

(iii) Billing, claims management, collection activities, obtaining payment under a contract for reinsurance (including stop - loss insurance and excess of loss insurance), and related health care data processing;

(3) The rule expands the range of insurance related activities to include those related to the creation, renewal or replacement of a contract for health insurance or health benefits, as well as ceding, securing, or placing a contract for reinsurance of risk relating to claims for health care (including stop - loss and excess of loss insurance).

The «minimum necessary» policy in the final rule has essentially three components: first, it does not pertain to certain uses and disclosures including treatment - related exchange of information among health care providers; second, for disclosures that are made on a routine basis, such as insurance claims, a covered entity is required to have policies and procedures governing such exchanges (but the rule does not require a case - by - case determination in such cases); and third, providers must have a process for reviewing non-routine requests on a case - by - case basis to assure that only the minimum necessary information is disclosed.

This information includes, for example, information used to make health care decisions or information used to determine whether an insurance claim will be paid.

(3) Underwriting, premium rating, and other activities relating to the creation, renewal or replacement of a contract of health insurance or health benefits, and ceding, securing, or placing a contract for reinsurance of risk relating to claims for health care (including stop - loss insurance and excess of loss insurance), provided that the requirements of § 164.514 (g) are met, if applicable;

For example, a homeowner's insurance policy will normally include liability coverage which protects the insured in the event of a claim brought by someone who slips and falls on the property; automobile insurance also includes an aspect of liability insurance that indemnifies against the harm that a crashing car can cause to others» lives, health, or property.

Find guidance on solving claims problems and health insurance options for college students, early retirees and those leaving group health plans, including information on COBRA.

The definition of a «contributing entity» at § 153.20 provides that for the 2015 and 2016 benefit years, a contributing entity is (i) a health insurance issuer or (ii) a self - insured group health plan, including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage, that uses a third party administrator (TPA) in connection with claims processing or adjudication, including the management of internal appeals, or plan enrollment for services other than for pharmacy benefits or excepted benefits within the meaning of section 2791 (c) of the PHS Act.

Navigating through the many policies offered by different insurers and finding a comprehensive health insurance plan that best suits you will include looking at the plan's coverage, waiting period, incurred claim ratio, renewability, network of hospitals etc..

If they paid a deductible with their health insurance provider, that amount can be included in their claim with their travel insurance provider.

Insure.com's experts are available for interviews about auto, home, health and life insurance, Our expertise includes how to buy insurance, how to save money, how make successful claims, current insurance trends and consumer concerns.

In some cases, claims on health insurance policies paid on reimbursement basis, especially when mediclaim policyholders avail treatment in a hospital which is not included in the network of health insurance companies.

However, it is important that the insurer discloses honest details with the insurance provider including his health habits and financials to ensure a hassle - free claim process.

What the couple didn't know, however, was that the travel insurance company, like just about every insurance underwriter everywhere, included a subrogation clause and a first payer clause in its policy certificate, allowing the company to collect some of the claim money from the couple's extended health insurance provider — the insurer that pays for treatment not entirely covered under Canada's national health plan.

Health Insurance TPA will impart end - to end services, including member enrollment, customer service and grievance management, pre-authorization and claims processing.

Besides the health cover, health insurance plans include several other benefits like free complete medical checkup upon completing particular tenure and bonus and discounts for claim free years and also special discounts for senior citizens.

Several exclusions are spelt under health insurance policy, and claim benefits are not applicable under certain conditions, these mainly include:

Under this Health Insurance Plan, your whole family, including spouse, parents, kids and some plans also allow to include parents in laws who can be included as insureds under one policy and claim against hospitalization or medical benefits as per policy contract.

The health insurance companies that offer free health check - up benefit through a block of four claim free years include Bajaj Allianz General Insurance, HDFC ERGO, SBI Generinsurance companies that offer free health check - up benefit through a block of four claim free years include Bajaj Allianz General Insurance, HDFC ERGO, SBI GenerInsurance, HDFC ERGO, SBI General, etc..

Tasks often seen on Health Insurance Specialist resumes include reviewing patient records, examining claims, checking insurance eligibility, collecting payments, identifying coding errors, explaining medical benefits to patients, and maintaining patient dInsurance Specialist resumes include reviewing patient records, examining claims, checking insurance eligibility, collecting payments, identifying coding errors, explaining medical benefits to patients, and maintaining patient dinsurance eligibility, collecting payments, identifying coding errors, explaining medical benefits to patients, and maintaining patient databases.

• Provided all insurance claims coding and submission that included Group Health, Workers» Compensation, No Fault and Medicare.

Medical Insurance and Billing and Coding professionals perform a variety of administrative functions within a health care company, this includes: organizing, analyzing, and technically evaluating health insurance claim forms and coding diseases, surgeries, medical procedures, and other therapies for billing and coInsurance and Billing and Coding professionals perform a variety of administrative functions within a health care company, this includes: organizing, analyzing, and technically evaluating health insurance claim forms and coding diseases, surgeries, medical procedures, and other therapies for billing and coinsurance claim forms and coding diseases, surgeries, medical procedures, and other therapies for billing and collection.

Investigated insurance claims filed for a variety of coverage to include workers» compensation, general liability, disability, property and casualty, life and health care under close direct supervision.

• Organized and processed paperwork, reports and all kinds of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended to clients, claimants, field appraisers and management queries, regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed billing and payment processes • Processed routine claims transactions related to reserves and issued required checks or receipts • Resolved all kinds of issues / problems regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations regarding all claims activities to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants, and the clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared, updated and organized customer and client's files • Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR to providers, field appraisers, agents, insurance agencies, clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up medical appointments for health claims • Kept department's office supplies stocked • Maintained confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record of closed files

• Highly experienced in interviewing patients and families to derive information regarding medical histories and past surgeries • Hands - on experience in determining patients» suitability for required surgical procedures by conferring with medical staff members in details • Demonstrated expertise in deciphering the need for preoperative tests such as MRS and bone scans • Qualified to juggle surgeons» schedules to fit in emergency synergies and procedures • Competent in following up with labs and radiology departments to expedite teat results • Deeply familiar with creating and maintaining effective liaison with insurance companies to obtain coverage and claim information • Proven ability to assist patients in filling out admission and insurance forms, with special focus on accuracy and legibility of information • Track record of effectively and efficiently coordinating post-surgery appointment in a bid to ensure patient health and wellbeing • Deep insight into interacting with patients» physicians and other staff members, both within the facility and at outside clinics to provide accurate, timely and responsive information • Highly skilled in creating consent forms and ensuring that patients and families fill them out and sign them prior to scheduled surgeries • Excellent skills in performing surgery related surgical procedures including answering telephones, maintaining records and accounts and fulfilling equipment requirements • Special talent for handling surgery related payments and insurance processing duties

Executive Consultant in establishing a start - up health plan for all technical, business and operational and data management and information systems security areas including member enrollment and eligibility, developing coverage, benefits and plan products including procedure and diagnosis codes, claims processing with rules definition, billing and premium, provider - physician and hospital contracting, credentialing, provider reimbursement methodologies, finance, revenue and payments, clinical care, medical management and authorizations and coverage guideline policies, broker / agent operations, EDI, IT Integration, IVR scripting, Microsoft SharePoint and C - Suite data management and reporting, and all Kentucky Dept of Insurance product and benefit filings including SERFF and HIOS.

As you will notice from my résumé, I have a successful, comprehensive, and diverse work history in the Insurance / Health / Contact Center Industry which includes most recently experience with Federally funded program of which I was responsible for managing the effective intake of unemployment claims for the State of New Mexico.

Some of thee regulations include paying claims in a timely manner and complying with federal medical billing laws, such as HIPAA, the Health Insurance Portability and Accountability Act (see: HIPAA compliant medical billing software)