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Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4] The payor returns the claim back to the medical biller and the biller evaluates how much of the bill the patient owes, after insurance is taken out.
This provides a basis for describing the types of patients a hospital or other health care provider treats (its case mix). Case mix groups are used as the basis for the Health Insurance Prospective Payment System (HIPPS) rate codes used by Medicare in its prospective payment systems. [1]
Policy price range: Insurance companies offer health insurance from a sum insured of ₹ 5,000 [11] for micro-insurance policies to a higher sum insured of ₹ 5 million (US$58,000) and above. The common insurance policies for health insurance are usually available from ₹ 100,000 (US$1,200) to ₹ 500,000 (US$5,800).
Aviva Life Insurance Company India Ltd. Private Gurugram: 2002 13: Sahara India Life Insurance Co. Ltd. Private Lucknow: 2004 14: Shriram Life Insurance Co. Ltd. Private Hyderabad: 2005 15: Bharti AXA Life Insurance Co. Ltd. Private Mumbai: 2008 16: Future Generali India Life Insurance Co. Ltd. Private Mumbai: 2007 17: Ageas Federal Life ...
The Insurance Repository in India is a database of insurance policies.It allows policy holders to make revisions to a policy. It launched on 16 September 2013. It is the world's first of its kind.
The National Health Policy was endorsed by the Parliament of India in 1983 and updated in 2002, and then again updated in 2017. The recent four main updates in 2017 mention the need to focus on the growing burden of non-communicable diseases, the emergence of the robust healthcare industry, growing incidences of unsustainable expenditure due to healthcare costs, and rising economic growth ...
Administrative data are electronic records of services, including insurance claims and registration systems from hospitals, clinics, medical offices, pharmacies and labs. For example, a measure titled Childhood Immunization Status requires health plans to identify 2-year-old children who have been enrolled for at least a year.
Niva Bupa Health Insurance Company Limited (Niva Bupa) is an Indian health insurance company, founded in 2008. It is headquartered in New Delhi, India.Niva Bupa Health Insurance Company Ltd. (formerly known was Max Bupa Health Insurance Company Limited) is a joint venture between Fettle Tone LLP (an affiliate of True North Fund VI LLP), an Indian private equity firm, and the UK based ...