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A STUDY ON INSURANCE INFORMATION SYSTEM(I.I.S) PERSPECTIVE TO INFORMATION AND TECHNOLOGY(ICT) Name : Designation: a) Manager b) Liaison officer c) Employee d)other Age and work of experience: / IN
Note: (SA- Strongly agree , A-Agree, N-Neutral,SD-Strongly Disagree D-Disagree) 1 Key Factors SA A N SD D Specific conditions 1.1 1.2 1.3 1.4 1.5 2 2.1 2.2 2.3 2.4 2.5 3 Reimbursements of expenses 3.1 3.2 3.3 3.4 3.5 Room boarding & nursing Non medical expenses Pre- Hospitalization charges Post- Hospitalization charges Consultant special fees Contract procedures Communicationeffectiveness Premium payments Physical examinations Cancellation procedures Administration support Discharging time Clarity in insurance claim Documentation Insurance counselling TPA response
4 4.1 4.2 4.3 4.4 4.5 5
Post hospitalization support Claim feedback Communication response after Discharge IT enabled services Renewal practices Claim updates Overall IT effectiveness in Insurance department
5.1 5.2 5.3 5.4 5.5 6
Record Keeping Easy back up details Information retrieval Security controls Confidentiality Insurance system requirements
6.1 6.2 6.3 6.4 6.5 7 7.1 7.2 7.3 7.4 7.5 8 8.1 8.2 8.3 8.4 8.5
Reliability Decreasing administrative Expenses Effective information package Meets audit standards Operational efficiency Automated processing facilities Policy correction Renewals Reporting systems Web enabled data entry Support to clinicians Overall performance of insurance information system Time saving capability Simplifies the task Inter departmental communication effectiveness Ability to track the datas Eliminates the handling costs