AJIRAUTUMISHI

Particularly in a nation like South Africa, where access to high-quality healthcare frequently depends on private medical coverage, health insurance is an essential part of both financial and social well-being. Among the myriad factors that influence health insurance premiums, age stands out as a particularly significant determinant. This paper investigates the relationship between age and … Read more

Phase One: Adjudication insurance claims are typically the first step in your insurance claims life cycle. Adjudication is where proof of loss documentation must be submitted to an insurance company, which then determines if you have a valid claim for payment based on the details given by the claimant. This phase can take some time … Read more

Some of the ways you can help to ensure the accurate processing of your claims and avoid payment delays include: Before providing services Review your contract with the health plan regarding the claim submission requirements, preauthorization requirements, fee-schedule and adjudication process. Obtain preauthorization (also called precertification) if that is required. Verify that the patient’s insurance … Read more

For both electronic and manual submissions, the claims process generally follows similar steps. Claims processes vary by payer, but the following general outline describes how the system is supposed to work. Claim submission. A psychologist submits a claim either electronically or manually to a health plan. Electronic claims are translated or converted into a standard format, … Read more

Immediately after the disaster Your first impulse may be to begin making repairs and cleaning up debris, but there are steps you should take first. Starting your claim  Most insurance companies have deadlines for reporting claims, so contact your agent or company as soon as possible. Insurance companies often send response teams to disaster areas. Members of these teams can explain what damages … Read more

Streamlined Claims Reporting Traditionally, filing an insurance claim involves a lengthy and cumbersome process, often requiring phone calls and paperwork. With Insurtech, policyholders can report claims through user-friendly mobile apps or web portals. This streamlined approach simplifies the reporting process and reduces the chances of errors. Automated Claim Processing Insurtech leverages automation to assess and … Read more