📄 insurance.mdl
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documentation "Responsible for initially entering providers fee application and creating an initial fee schedule."
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documentation "This system contains all the provider information and status information as to whether the provider is the insurance network or not. The Fee System must communicate with the Provider Recruitment System in order to import provider information which is needed to assign providers fee schedules and reprice claims."
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documentation "The client company which is usually an insurance company or sometimes a large company which wishes to insure itself directly."
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documentation "This is the Claims Repricing operator who will be repricing claims."
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documentation "Responsible for maintaining all Fee related information such as Fee Statistics and Medical Procedure codes."
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documentation "Existing system which is on its last leg. The Fee System (FCR) and the Provider Recruitment System will be replacing the Legacy System."
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documentation "Responsible for batch loads/calculations and other IS tasks."
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documentation "Responsible for providing exported information to the client."
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documentation "Responsible for the supervision of the entire fee schedule process."
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documentation "Fee categories are used to group like medical procedures together for fee profile reporting reasons."
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documentation "This object is required by Mapper(TM), an object to relational mapping tool this application relies on. Mapper automates the integration of business objects with relational databases, reducing data services tier coding by 60%. Using Mapper, all of the object attributes are mapped to database columns. This virtually eliminates the need to create your own data services layer. It handles many of the primary functions of get, save, ... etc. and reduces the need to write SQL commands. Mapper is available from InterAccess. There are versions for Visual Basic or J++. Call us at 800-443-8049 to place an order or receive a trial copy."
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