Page 102 - MEDICAL AND HEALTH INSURANCE

MEDICAL AND HEALTH INSURANCE

TUTORIAL

1. State THREE objectives of claim assessment.

2. Explain FOUR methods of common utilization review under Medical and Health

Insurance claim.
3. There are various types of compensation arrangements or settlement methods

used in managed-care plans, explain all of them.

4. Discuss the impact of pre-authorization claims towards patient and insurance
company

5. Investigate the impact of contribution and third-party recoveries on Medical

and health insurance (MHI) claim management.

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