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The Right Approach to Minimizing Risks in Health Insurance

WEBThe formula is m (R-T) – H, where: m is 82%; R is the total gross benefit; T is the designated threshold; H is the sum of the amounts notionally allocated to the HCCP. …

Actived: 7 days ago

URL: https://www.flexrule.com/archives/health-insurance-risks/

Health Insurance Premium Calculation

WEBHealth Insurance Premium Calculation process steps. These are the process steps. Predict the charges based on age, sex, BMI, number of children, …

Category: Health Go Health

Using Health Data Exchange to Make Effective Heathcare Decisions

WEBConclusion: End-to-end Decision Automation can Help Healthcare Providers Make Decisions Using Health Data. There are several aspects that should be considered …

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Healthcare Transformation with Next Best Action Decisioning

WEBThe use of the next best action in healthcare enables direct input from patients, carers, and health professionals. Then based on the history and the provided …

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First Home Buyer Credit Decision

WEBThese are the process steps. Read the income and expenditure data of the customer. Check for the income consistency/ frequency, minimum income, and dole …

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Health & Life Sciences

WEBManaging Health & Life Sciences: Claim Processing, Medical Billing, Interoperability, Foster innovation, Improve patient journey, Electronic Health Record

Category: Medical Go Health

National Association of Boards of Pharmacy selects FlexRule to …

WEBNABP enforces relevant laws with FlexRule to protect public health. NABP is a non-profit association that protects the public health by assisting its member boards of pharmacy …

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Patient Management

WEBSked24 Optimizes and Transforms Patient-Healthcare Provider Interactions. Sked24 is a cloud-based patient management and loyalty platform designed for any type of health …

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Decision Tree and Predictive Analytics to use to predict the future

WEBFlexRule's algorithm is based on C4.5 which is part of our Predictive Analytics module, which is an algorithm used to generate the tree developed by Ross Quinlan. C4.5 is an …

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Digital Decisioning

WEBDigital Decisioning is the technological approach to utilize multiple tools and techniques alongside which complement each other to deliver the massive business …

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Insurance Underwriting: Top 3 Impactful Areas to Improve

WEB3 Ways to Improve Insurance Underwriting using Decision Automation. Machine Learning in Health Insurance Premium Calculation. Handling Compliance …

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Modeling Pricing Decision for Insurance Premium Calculation

WEBThe following decision table calculates the auto premium based on various data (i.e. car age, condition, and theft rating). Imagine that the insurer decides to …

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Writing Business Rules

WEBConclusion. Natural Language is an efficient way of writing business rules. Although this is not the only way, it is a very popular approach because you can write …

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Dynamic Pricing: Combining Predictive and Prescriptive Models

WEBFlexRule ® allows you to combine all the methods using rule-based and data-driven technologies and calculate the dynamic price faster. This ensures a better …

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Redefine Data Science Success Criteria

WEBAnd although data science is highly regarded in the business world, it makes little contribution to the bottom lines of most businesses. Therefore, it is essential to …

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