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HCI213

Q: Demonstrate how electronic claims such as EDI works during insurance processing in the healthcare system ?

I need new and unique answers, please. (Use your own words, don't copy and paste),

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Answer #1

Claims for insurance and the procedure for processing the claims is very tedious and requires lots of paper work. It requires lots of work to organise patient information, retrieval and documentation. The process can be cumbersome, expensive and inefficient. Use of electronic system such as electronic data interchange in healthcare system for insurance claims has eased the process. It has reduced the manual work and decreased the manual errors. This has effectively reduced the healthcare costs and improved the reimbursement rate.
Electronic claims enable electronic transmission of healthcare data. It facilitates transfer of information between the user and the applicant in a safe and secure manner. It allows sharing and interchange of medical information in standardised format between the patient, institution and the professionals.

Electronic claims have helped in a great way to improve process of insurance claims by standardising the healthcare information, reducing costs, securing the data and faster processing.

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