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首页> 外国专利> MANAGING A RISK OF A LIABILITY THAT IS INCURRED IF ONE OR MORE INSURERS DENIES COVERAGE FOR TREATING ONE OR MORE INSURED FOR ONE OR MORE CONDITIONS

MANAGING A RISK OF A LIABILITY THAT IS INCURRED IF ONE OR MORE INSURERS DENIES COVERAGE FOR TREATING ONE OR MORE INSURED FOR ONE OR MORE CONDITIONS

机译：如果一个或多个保险人拒绝为一个或多个条件治疗一个或多个被保险人而承保承保范围，则承担管理责任的风险

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摘要

An embodiment of a risk-management method includes determining a risk that one or more insurers will deny coverage for treating one or more insured for one or more conditions, and calculating, in response to a determined risk, a fee for taking a respective action for each instance of at least one of the one or more insurers denying coverage for treating at least one of the one or more insured. Such an embodiment may aid in managing a risk of a liability that may be incurred if one or more insurers under one or more medical insurance policies deny coverage for treating one or more insured under the one or more polices. An example of such liability includes money owing to one or more physicians or other treatment providers that treated the one or more insured (or, from a treatment provider's perspective, the inability to collect such money owing).
机译：风险管理方法的一个实施例包括确定一个或多个保险公司拒绝为一个或多个条件治疗一个或多个被保险人的承保的风险，以及响应于确定的风险，计算针对该风险采取相应行动的费用。一个或多个保险公司中至少一个的每一个实例均拒绝治疗一个或多个被保险人中的至少一个的承保范围。这样的实施例可以帮助管理如果一个或多个保险人根据一种或多种医疗保险政策而拒绝承保治疗一个或多个被保险人在一个或多个政策下可能承担的责任风险。此类责任的一个例子包括欠一名或多名医生或治疗该一名或多名被保险人的其他治疗提供者的款项（或从治疗提供者的角度来看，由于欠款而无法收款）。

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