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  • The Missing 1 Percent
    The Missing 1 Percent A discussion of insurance claims processing and payment systems, and how to achieve the minimum possible number of errors. Audits;Claims processing;Claims review;Data ...

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    • Authors: Jim Del Vecchio
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Health information technology; Health & Disability>Electronic medical record
  • Inside the Medical Information Bureau
    Inside the Medical Information Bureau Panelists discuss the history of this 75-year-old Medical Information Bureau MIB, its very active and data-rich source of medical information, and the ...

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    • Authors: John R Avery, John Luff, Stacy Gill, John Detwiler
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Experience Studies & Data>Morbidity; Health & Disability>Disability insurance; Health & Disability>Health care; Life Insurance
  • Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
    Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements This article will consider several issues arising from ACO budgeting and pricing of stoploss coverage, including: 1) ...

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    • Authors: Anthony Rubiano
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy
  • Automating the Underwriting Process
    Automating the Underwriting Process NewsDirect article that discusses the benefits of automating the underwriting process. Underwriting speed, the east of case submission and sales support stand ...

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    • Authors: Susie Cour-Palais
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: News Direct
    • Topics: Life Insurance>Underwriting - Life Insurance; Technology & Applications>E-commerce; Health & Disability>Electronic medical record