According to their analyses of
insurance claims databases, about 70 percent of men who have tried testosterone therapy did so after seeing a primary care physician, not a urologist or endocrinologist.
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.
Analysts examined
an insurance claim database of more than 600,000 rear - impact crashes to determine the likelihood of an associated injury claim.
Then, we looked at every injury diagnosis in our health
insurance claims database from 2012 to 2016.
Not exact matches
All property
insurance claims made are registered to the Comprehensive Loss Underwriting Exchange (CLUE), a reporting system by LexisNexis, and insurers check this
database when pricing personal auto and property policies (including renters
insurance).
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 s
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 s
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 s
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 s
insurance businesses Pushing for sensible development of global capital standards Securing better targeted tax legislation Managing the impact of international financial reporting standards.
Surgical ear piercings are rare, according to the Health Care Cost Institute, a nonprofit that maintains a
database of commercial health
insurance claims.
The researchers used electronic medical record
databases and
insurance claims to determine rates of diagnoses, prescription of psychotropic medications and formal psychotherapy sessions received by white, Asian, black, Hispanic, Native Hawaiian / other Pacific Islander, Native American / Alaskan Native and mixed - race patients.
The researchers, from academic medical centers and private practice, looked at
insurance claims data from a large nationwide employment - based
database of medical
claims.
The researchers analyzed data in a commercially - available
database of
insurance claims for more than 50 million people.
When you make an
insurance claim or begin the process to switch
insurance companies, information about your
claims history is placed into a national loss - underwriting
database.
All property
insurance claims made are registered to the Comprehensive Loss Underwriting Exchange (CLUE), a reporting system by LexisNexis, and insurers check this
database when pricing personal auto and property policies (including renters
insurance).
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.
I will continue to try and obtain justice for those people effectively given a death sentence by just going to work but can not recover compensation because not only is there no fund of last resort for employers liability
claims, backed by a
database, but the government has now seen fit to relax the requirement that
insurance records be kept for 40 years, somehow seeing this as the exception to the increased regulation seen in nearly every other aspect of life.
Any time a consumer makes auto
insurance claims or other kinds of property
insurance claims, they get routed to a central
database, sometimes without the knowledge of the
claim filer.
Auto insurers get the CLUE report from the central
database to find out about auto
insurance claims history for a driver or household.
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.
There is a nationwide, collective
database in which Rhode Island car
insurance companies keep a tally of the type of vehicle that is involved in
claims as well as the average cost of repairs to these vehicles.
Lots of drivers are reporting that any kind of random entry in a
claims database can jack up
insurance rates.
It's a shared
database insurance companies report to when you make a
claim.
And it isn't just your home
insurance that could rise, because there is a national
database of loss
claims, and the file is examined every time you apply for new coverage.
By stitching together years of data from health
insurance claims (the records doctors send to
insurance companies to get paid for what they do), we've built the most comprehensive
database of healthcare experiences.
All property
insurance claims made are registered to the Comprehensive Loss Underwriting Exchange (CLUE), a reporting system by LexisNexis, and insurers check this
database when pricing personal auto and property policies (including renters
insurance).
The Life
Insurance Council has set up a centralized
database for life insurers to check on before processing
claims under the Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY).
The Comprehensive Loss Underwriting Exchange is a
claims history
database insurers use to help qualify and set premiums for
insurance applicants.
Insurance companies all share information about
claims into a central
database, and both underwriting and
claims generally have access to it.
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.
India's health
insurance companies have banded together to create a
database of hospitals and nursing homes that encourage fraudulent
claims.
The project
claims it will solve specific problems facing the dental industry, including a review platform, blockchain
insurance program and healthcare
database.
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 d
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 d
insurance eligibility, collecting payments, identifying coding errors, explaining medical benefits to patients, and maintaining patient
databases.
• Incorporated an very multifaceted
insurance scheme with major
insurance corporations»
database that gave rise to easy clients»
claims details
Pharmacy Technician UAB Medicine, Durham, NH Feb 2011 — Present • Accurately receive and verify prescriptions • Fill prescriptions and deliver to patients • Answer customers» queries regarding medications • Label medicine jars and bottles appropriately • Provide inventory and stocking activities • Verify incoming medicine stocks • Manage supply documents • Enter order information in predefined
databases • Process
insurance claims, and ensure that they are submitted appropriately
• 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
Unit Assistant SOUTH CAROLINA HEALTHCARE CENTRE, Charlotte, NC (May 2011 — November 2013) • Managed the
database while ensuring data confidentiality • Issued admittance and discharge slips • Forwarded
insurance claims on behalf of patients to various companies • Briefed the patients about medical procedures, admission and discharge protocols • Supervised the nursing staff and coordinated their shifts • Fielded inbound visitor calls and handled correspondence
• 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
Developed
Database Applications in MS Access and SQL Server accelerating
insurance claims processing.
Summary Energetic and enthusiastic
insurance professional motivated to succeed in a fast -... communication skills Workers» compensation claims Insurance fraud expertise Database management Self... player Critical thinker Experience Travelers Insurance Company October 2015 to March 2016 Inve
insurance professional motivated to succeed in a fast -... communication skills Workers» compensation
claims Insurance fraud expertise Database management Self... player Critical thinker Experience Travelers Insurance Company October 2015 to March 2016 Inve
Insurance fraud expertise
Database management Self... player Critical thinker Experience Travelers
Insurance Company October 2015 to March 2016 Inve
Insurance Company October 2015 to March 2016 Investigative
Computer programs help medical offices process billing and
insurance claim forms, store
databases of patient medical records and contact information, and run an efficient appointment scheduling system.
Researched and entered data for all State and Federal mandates related to the
insurance industry into a searchable
database accessible at all company computers for use in
claims processing.
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.
The report provides photos,
insurance claims history information (sewer back - ups, fire damage, flood damage, burglaries, vandalism), a proprietary marijuana grow - op
database, local school rankings, neighbourhood amenities and other information.
It is entered into a
database shared by
insurance underwriters and lists
claims made against the property for up to seven years.