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Machine Learning in Health Insurance

Health insurance premium calculation is a complex process with multiple steps. Although the major factsare age, family status, and income, to provide a more customized, accurate … See more

Actived: 3 days ago

URL: https://www.flexrule.com/archives/ml-health-insurance

The Right Approach to Minimizing Risks in Health Insurance

WebThe formula is m (R-T) – H, where: m is 82%; R is the total gross benefit; T is the designated threshold; H is the sum of the amounts notionally allocated to the HCCP. …

Category:  Health Go Health

Handing Compliance Challenges in Insurance and …

WebThe second biggest challenge in compliance is the implementation and embedding of regulatory change. There are many newer technologies coming to light, some specifically for insurance, and …

Category:  Health Go Health

Health Insurance Premium Calculation

WebHealth Insurance Premium Calculation process steps. These are the process steps. Predict the charges based on age, sex, BMI, number of children, smoking …

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Using Health Data Exchange to Make Effective Heathcare Decisions

WebConclusion: End-to-end Decision Automation can Help Healthcare Providers Make Decisions Using Health Data. There are several aspects that should be considered when …

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Decision Tree and Predictive Analytics to use to predict the future

WebFlexRule's algorithm is based on C4.5 which is part of our Predictive Analytics module, which is an algorithm used to generate the tree developed by Ross Quinlan. C4.5 is an …

Category:  Health Go Health

Healthcare Transformation with Next Best Action Decisioning

WebThe use of the next best action in healthcare enables direct input from patients, carers, and health professionals. Then based on the history and the provided …

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Health & Life Sciences

WebManaging Health & Life Sciences: Claim Processing, Medical Billing, Interoperability, Foster innovation, Improve patient journey, Electronic Health Record

Category:  Medical Go Health

Redefine Data Science Success Criteria

WebAnd although data science is highly regarded in the business world, it makes little contribution to the bottom lines of most businesses. Therefore, it is essential to have …

Category:  Health Go Health

Modeling Pricing Decision for Insurance Premium Calculation

WebThe following decision table calculates the auto premium based on various data (i.e. car age, condition, and theft rating). Imagine that the insurer decides to …

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Patient Management

WebSked24 Optimizes and Transforms Patient-Healthcare Provider Interactions. Sked24 is a cloud-based patient management and loyalty platform designed for any type of health …

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Dynamic Pricing: Combining Predictive and Prescriptive Models

WebFlexRule ® allows you to combine all the methods using rule-based and data-driven technologies and calculate the dynamic price faster. This ensures a better price in …

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Writing Business Rules

WebConclusion. Natural Language is an efficient way of writing business rules. Although this is not the only way, it is a very popular approach because you can write executable, …

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Enterprise Automation

WebBlue color defines the scope of competitive parity and green defines the scope of the competitive advantage of automation. Enterprise automation can help you to increase …

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Insurance Underwriting: Top 3 Impactful Areas to Improve

WebDecision automation can significantly help insurers to improve their insurance underwriting activities in 3 different ways: Identifying the right risks in any given complex …

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STOP using #aigen #llms and generative models when the results …

Web🛑STOP using #aigen #llms and generative models when the results need accuracy and confidence. Especially if you operate in a regulated environment, no technology such as …

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Insurance Archives

WebBusiness Decision. Bring Together the Process, Data, Robotics and Business Rules

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