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Essentials of Commercial Health Insurance: Operational Business Management, Architecture, and Infrastructure

BySalus One Ed

This two part course is a comprehensive knowledge guide about commercial healthcare payor organizations, their enterprise functions, and day-to-day business activities. It also provides the participant reader the information required to understand the underlying theories, working processes, necessary infrastructure to understand health payor business capabilities including: - key functional components of health insurance businesses and interrelationships, - ongoing regulatory and competitive changes and their respective impact on organizational processes, systems architecture, and information assets, - support for all members and customers from application to disenrollment, - efficiently communicating with and managing provider needs and communications - multiple, modernized technologies and partner maintenance activities - typical individual and group enrollment, - prototypical commercial payor system and process flows, industry data collection and enrollment reporting methods, and more

Details

Publication Date
Jan 21, 2016
Language
English
ISBN
9781329843776
Category
Business & Economics
Copyright
All Rights Reserved - Standard Copyright License
Contributors
By (author): Salus One Ed

Specifications

Format
PDF

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