Describe the information systems functionalities in claims management and member services
In preparing for this discussion, read Chapter 23 of the course text. For your initial post, address the following in the discussion forum:
Describe the information systems functionalities in claims management and member services.
Identify the significance of information systems in maintaining provider network.
Discuss the changes in information systems to support consumerism.
Your initial post should be at least 300 words. Support your response with a minimum of two credible sources that were published in the last five years.
Kongstvedt, P. R. (2012). Essentials of managed health care (6th ed.). Sudbury, MA: Jones and Bartlett Publishers.
Information systems are essential in the operations of healthcare claims management and member services. They help in scheduling of patients, billing and management of the health of the patient which in effect reduces cost and improves outcomes. The information systems functionalities deal with the sending of bills to the health insurance paying for the patient’s health. The claims processing by online real……
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