The Appeal of Insurance

Author: Geoffrey Wilson Clark
Publisher: University of Toronto Press
ISBN: 1442640650
Format: PDF, Kindle
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'The Appeal of Insurance is an excellent collection that reflects a growing interest in insurance research within the social sciences. Clearly written and accessible to a variety of audiences, this is a volume of world-class scholarship.'-Luis Lobo-Guerrero, School of Politics, International Relations, and Philosophy, Keele University In the marketing of its products, the insurance industry has always depended on a considerable dose of moral exhortation and enlightened appeal. The Appeal of Insurance traces the ways in which insurance over the past three centuries, perhaps more than any other business, has grown in concert with a clientele largely of its own making. Faced with a public that has preferred to avoid confronting the certainty of fatality or the probabilities of catastrophe, insurance promoters have had to create a demand for their products, first, by persuading the public to see the world as ruled less by divine judgments and more by statistical patterns, and second, by proclaiming a moral imperative of hedging against death and disaster by the prudential recourse to insurance. The essays presented here examine the history of insurance as a process of negotiation between the embedded social, legal, and cultural norms out of which the practice of insurance grew, and the new arrangements and sensibilities that insurance itself helped bring into being. Today, insurance is a global economic colossus and a fixture in the developed countries of the world. But neither the financial clout of the insurance industry nor its ubiquity conveys the full measure of its social and political influence. The insurance industry has in fact become a primary agent of discipline and control over public and private behaviours by imposing upon them the criterion of insurability. By tracing the boundaries of acceptable (and compensated) from unacceptable (and uncompensated) risk, insurers directly or indirectly govern people, products, and markets, and by this process become one of the most powerful and pervasive agents of social and economic control. Geoffrey Clark is a professor in the Department of History at the State University of New York at Potsdam. Gregory Anderson is the former Associate Head of the Business School at the University of Salford. Christian Thomann is a senior fellow at the Centre for Risk and Insurance at Leibniz University, Hanover. J.-Matthias Graf Von Der Schulenburg is the Director of the Centre for Risk and Insurance at Leibniz University, Hanover.

Appeals Toolkit

Author: Tammy Tipton
Publisher: Hcpro Incorporated
ISBN: 9781615690053
Format: PDF, ePub, Docs
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Combat denied claims and get paid what you deserve Don't take no for an answer! You can turn denied insurance claims on their head and recover millions of dollars in lost revenue - revenue that your organization deserves. Be informed of your legal rights and use them to your advantage when submitting denied claims. Here's your biggest ally in fighting denied claims: The Appeals Toolkit: Turn healthcare insurance denials into dollars provides extensive information on appeal strategies and methods to incorporate into your processes to avoid being denied in the first place. Sample letters found in this comprehensive resource. no need to look anywhere else! The Appeals Toolkit includes 25 tested, proven, and effective sample appeal letters from which you can model your own claims. These letters demonstrate the inclusion of legal citations and how to effectively demand a thorough response from a carrier. You'll have access to appealing the following denials: Incorrect payment Incorrect contractual adjustments Medical necessity Utilization review Preauthorizations Underpayments And more! As an added bonus, you will receive chapters dealing with appealing claim denials for Medicare and the Employee Retirement Income Security Act (ERISA) Accompanying CD allows you to customize Use the book version of the Appeals Toolkit for quick reference, or use the accompanying CD-ROM to download the letters and customize them to your specific situation. You can simply search the denial area you need, then copy, paste and edit to suit your needs.

New York Insurance Law

Author: Publisher's Editorial Staff
Publisher: LexisNexis
ISBN: 1522153101
Format: PDF, Docs
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This latest edition of LexisNexis New York Insurance Law is a complete unannotated text of New York Insurance Law (Chapter 28 of the Consolidated Laws). Published annually, it includes a comprehensive index and is the reference every New York insurance law practitioner needs at their side.

Health Insurance Resources

Author: Kimberly Calder, MPS
Publisher: Demos Medical Publishing
ISBN: 9781934559611
Format: PDF, ePub, Docs
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The second edition of Health Insurance Resources: A Guide for People with Chronic Disease and Disability continues to be a uniquely helpful reference for those who need and use health insurance most often but have the least access to it. The book was developed to assist individuals living with disability and chronic health conditions, as well as health care professionals, in understanding the health care system and maximizing their rights and entitlements within that system. The manual is completely updated throughout, and reflects the changes in the system since the first edition's publication in 2003. Crucially, the book includes new information about the new Medicare Prescription Drug Coverage plan, which took effect in January 2006. It also covers: Social Security Disability Insurance and Supplemental Security Income COBRA HIPAA State High Risk, Pools Insurance glossary State pharmacy assistance programs And much, much more! This essential guide contains information about a wide variety of options that will be of assistance to individuals who are uninsured, underinsured, or who have questions about insurance and don't know where to begin. It will also serve those who work with chronically ill individuals and their families, such as health care professionals and para-professionals, consumer and patient advocates, and the educators and institutions that serve them.


Publisher: PHI Learning Pvt. Ltd.
ISBN: 8120346572
Format: PDF, Mobi
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The emergence of the financial sector has brought unprecedented changes in the principles, practices and legal framework of the banking and insurance sectors. This up-to-date and student-friendly text describes, with great clarity and precision, the role of banking and insurance sectors in the current era of globalization, privatization and liberalization. The book first introduces the readers to the banking business, retail banking, international banking, Internet banking and tele-banking, including the ATMs, credit, debit and smart cards. Then it goes on to give a detailed description of enterprise risk management (ERM), life insurance plans, insurance rating methods and claims settlement in life insurance. The text concludes with a discussion on insurance intermediaries and their functioning, the legal framework, as well as major players in the Indian insurance industry and future trends of the industry. The second edition has been substantially updated and includes a new chapter on Practical Banking, which discusses cheques, drafts, core banking solution and banking ombudsman. The text is interspersed with many examples and illustrations, and other pedagogic features. It is designed primarily as a textbook for the undergraduate students (BA) for their course in banking and insurance. Besides, it will prove to be a handy reference for students of management, commerce and those taking banking and insurance courses. KEY FEATURES 1. Acquaints the students with most recent developments in banking and insurance sectors 2. Provides numerous end-of-chapter review questions 3. Gives important abbreviations and real-life cases

Health Insurance and Managed Care

Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Publishers
ISBN: 128415209X
Format: PDF
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"The term "managed care" or "managed healthcare" describes a group of activities ostensibly intended to reduce the cost of providing for-profit health care while improving the quality of that care. One of the most common forms of managed care is the use of a panel or network of healthcare providers to provide care to enrollees. Managed care is so ubiquitous in the US, it has become nearly synonymous with health insurance.Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry"--

Insurance Rate Litigation

Author: J.K. Mintel
Publisher: Springer Science & Business Media
ISBN: 9780898381399
Format: PDF, Kindle
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The idea for this book came from my decision to update an article by Roy C. McCullough entitled "Insurance Rates in the Courts" published in the June and July 1961 issues of the Insurance Law Journal. When this project began, the intention was to produce a similar journal article surveying insurance rate litiga tion between 1960 and the present using basically the same organization followed in the seminal article. However, the volume of reported cases during the last twenty years was much larger than anticipated and the issues being litigated had expanded dramatically. The project grew as my study progressed, and the resulting book surveys more than three hundred disputes involving insurance ratemaking and insurance rate regulation. The fruition of this project would not have been possible without the consistent encouragement and criticism of Roy McCullough, and it is with gratitude that I acknowledge his continuous and valuable assistance to me in this effort. Once an initial draft was prepared, a number of my associates cooperated by reading and commenting on the manuscript. I would like to give special thanks to Michael J. Miller and James F. Perry who unselfishly shared their time and knowledge to improve this work. Needless to say, none of those who read the manuscript is responsible for any errors in concept or detail that may remain.


Author: Laurie Todd
ISBN: 9780979143540
Format: PDF
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Step-by-step guide explains how to research, write and deliver a winning insurance appeal.