THIRD PARTY INSURANCE CLAIMS: A CAUTIONARY TALE

1968 ◽  
Vol 1 (9) ◽  
pp. 371-371
Keyword(s):  
Third Party ◽  
Cautionary Tale ◽  
Insurance Claims

scholarly journals Estimation and Calculation Procedures of the Technical Provisions for Outstanding Insurance Claims

2014 ◽  
Vol 15 (1) ◽  
pp. 14-21
Author(s):  
Aleksandrs Matvejevs ◽  
Anatoliy Malyarenko ◽  
Andrejs Matvejevs
Keyword(s):  
Third Party ◽  
Financial Indicators ◽  
Life Care ◽  
Insurance Claims ◽  
Property Insurance ◽  
Current Period ◽  
Accurate Forecast ◽  
Loss Experience ◽  
The Impact ◽  
Calculation Procedures

Abstract The paper presents algorithms for insurance technical provisions taking into account losses, which are incurred but not reported. Evaluation of insurance technical provisions for the kinds of insurance, such as Motor Third Party Liability (MTPL) Insurance, Property Insurance and some others, have difficulties in assessing the impact of the losses from insurance claims incurred requiring a longer time for the settlement of insurance claims. These insurance requirements are mainly associated with health insurance in the MTPL Insurance, losses related to compensation for moral injuries, as well as on life care and life-long pension. To run these payments, you need to know the financial indicators for the period of settlement of loss (such as the effective interest rate, investment income, etc.) In the article the procedures for the most accurate forecast possible losses for the expected excess of loss amount for a treaty year are provided, using the loss experience of the previous years of the occurrence with their development. However, certain adjustments should be made to take account of the impact of losses from previous years for the current period. This article describes how outstanding losses have to be projected on a year of reporting, so that they are correspond to the current values

scholarly journals Legal Certainty of Doctor Profession Insurance Claim in Bumiputera Muda 1967 General Insurance, Pekanbaru City

2020 ◽  
Vol 7 (10) ◽  
pp. 333
Author(s):  
Ibnu Multazam ◽  
Ismansyah Ismansyah ◽  
Wetria Fauzi
Keyword(s):  
Medical Profession ◽  
Medical Professional ◽  
Third Party ◽  
Liability Insurance ◽  
Legal Certainty ◽  
Insurance Claims ◽  
Insurance Claim ◽  
Positive Law ◽  
Information Studies ◽  
Made In

PT. Asuransi Umum Bumiputera Muda 1967 Sells an insurance product called professional medical insurance, which is included in the scope of liability insurance. Liability insurance is a type of insurance that covers material losses due to legal liability to other parties, in this case a mistake or negligence committed by a doctor in carrying out his / her duties. The problems in this thesis are how is the legal certainty in medical profession insurance claims and how is legal certainty in the implementation of medical profession insurance claims at PT. Asuransi Umum Bumiputera Muda 1967, Pekanbaru City. The method used in this thesis is a juridical empiric approach. Sources of data are primary, secondary and tertiary legal materials obtained through literature and information studies, using interview guidelines and field observations. From research done shows that the rule of law in insurance claims medical profession when there is negligence medic was not found in the positive law of Indonesia, therefore, if there had been an agreement between the parties regarding the amount of compensation and payment terms then poured into agreements or agreements made in writing, either under hand or before a notary. This agreed agreement will become the law for the parties in claiming professional insurance. Furthermore, legal certainty in the settlement of medical professional insurance claims as well as implementation and obstacles both from the insurance party, the doctor as the insured or a third party, in this case the Medicolegal team

The many faces of obligation

2020 ◽  
Vol 43 ◽  
Author(s):  
Michael Tomasello
Keyword(s):  
Third Party ◽  
The Many ◽  
Sense Of Obligation

Abstract My response to the commentaries focuses on four issues: (1) the diversity both within and between cultures of the many different faces of obligation; (2) the possible evolutionary roots of the sense of obligation, including possible sources that I did not consider; (3) the possible ontogenetic roots of the sense of obligation, including especially children's understanding of groups from a third-party perspective (rather than through participation, as in my account); and (4) the relation between philosophical accounts of normative phenomena in general – which are pitched as not totally empirical – and empirical accounts such as my own. I have tried to distinguish comments that argue for extensions of the theory from those that represent genuine disagreement.

A Macintosh Interface for the Cameca Camebax-Micro Electron Microprobe

1990 ◽  
Vol 48 (1) ◽  
pp. 438-439
Author(s):  
Carl E. Henderson
Keyword(s):  
Electron Microprobe ◽  
Processing Speed ◽  
Word Processing ◽  
State Of The Art ◽  
Computer Control ◽  
Third Party ◽  
Disk Storage ◽  
The Past ◽  
User Facility ◽  
Instrument Control

Over the past few years it has become apparent in our multi-user facility that the computer system and software supplied in 1985 with our CAMECA CAMEBAX-MICRO electron microprobe analyzer has the greatest potential for improvement and updating of any component of the instrument. While the standard CAMECA software running on a DEC PDP-11/23+ computer under the RSX-11M operating system can perform almost any task required of the instrument, the commands are not always intuitive and can be difficult to remember for the casual user (of which our laboratory has many). Given the widespread and growing use of other microcomputers (such as PC’s and Macintoshes) by users of the microprobe, the PDP has become the “oddball” and has also fallen behind the state-of-the-art in terms of processing speed and disk storage capabilities. Upgrade paths within products available from DEC are considered to be too expensive for the benefits received. After using a Macintosh for other tasks in the laboratory, such as instrument use and billing records, word processing, and graphics display, its unique and “friendly” user interface suggested an easier-to-use system for computer control of the electron microprobe automation. Specifically a Macintosh IIx was chosen for its capacity for third-party add-on cards used in instrument control.

Coding for Evaluation and Treatment

2008 ◽  
Vol 18 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Mark Kander ◽  
Steve White
Keyword(s):  
Medical Record ◽  
Treatment Session ◽  
Accurate Diagnosis ◽  
Third Party ◽  
Speech Language Pathologists ◽  
Adequate Information ◽  
Diagnosis Codes ◽  
Coding Rules ◽  
Procedure Codes ◽  
The Web

Abstract This article explains the development and use of ICD-9-CM diagnosis codes, CPT procedure codes, and HCPCS supply/device codes. Examples of appropriate coding combinations, and Coding rules adopted by most third party payers are given. Additionally, references for complete code lists on the Web and a list of voice-related CPT code edits are included. The reader is given adequate information to report an evaluation or treatment session with accurate diagnosis, procedure, and supply/device codes. Speech-language pathologists can accurately code services when given adequate resources and rules and are encouraged to insert relevant codes in the medical record rather than depend on billing personnel to accurately provide this information. Consultation is available from the Division 3 Reimbursement Committee members and from [email protected] .

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