Electronic data interchange (EDI) is fueling a revolution in the health care industry. The potential for significant reductions in the administrative costs of paying medical claims has everyone from the Health Insurance Association of America, both Democratic and Republican members of Congress, the Secretary of the U.S. Department of Health and Human Services (HHS) and even the President of the...

Since 1975 Sweden has had a patient insurance system to compensate patients for health-related injuries. The system was initially based on a voluntary patient insurance solution, but in 1997 it was replaced by the Patient Insurance Act. The current Act covers both physical and mental injuries. Although about 9,000-10,000 cases are processed in Sweden annually, compensation is paid in barely hal...

The importance of protecting confidential health care for adolescents and young adults is well documented. State and federal confidentiality protections exist for both minors and young adults, although the laws vary among states, particularly for minors. However, such confidentiality is potentially violated by billing practices and in the processing of health insurance claims. To address this p...

Abstract The increasing data scales in today’s business sectors coupled with the necessity of risk management raise importance intelligence tools as an integrated solution for insurance industry. These have mostly been used to achieve effective management. Although methods industry proposed many years ago, research effort has primarily focused on predictive analyses. This study aimed investigat...

agricultural insurance is one of the most important mechanisms to providing security for investment in agricultural and natural damage reduction. one of the modern types of insurance is weather index- based insurance that developed based on climatic parameters such as rainfall and temperature. the purpose of this study is to identifying the factors affecting wheat farmer's participation on...

Customers’ data points sources are growing, through the Internet of Things (IoT), telematics and interfacing with third parties’ platforms. Third parties provide either by-product about their clients, or that generated for specific task a more accurate measurement behaviour. One core building blocks in insurance is understanding risk – therefore, innovation around (sources analytics) to proxy e...