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Automated insurance claim primacy resolution and claim resolution
Automated insurance claim primacy resolution and claim resolution
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机译：自动保险理赔优先权解决方案和理赔解决方案
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摘要
Comprehensive claim primacy among all insurers serving a given population is determined quickly and efficiently while not requiring all 4,500 or so insurers (in the U.S.) to unanimously adopt a new system of claim processing cooperation. The claim primacy determination is made by a centralized server with access to health plan enrollment and benefit data from substantially all insurers. The determination can therefore be comprehensive. Efficiency is achieved by caching enrollment and benefit data by the server, requiring periodic updates of the cached data by health plans. Unanimous lock-step adoption by the insurers is avoided by combining a standardized electronic messaging system to query data not cached in the server.
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