Concepedia

Insurance Claims Processing

Insurance Claims Processing is a systematic procedure within the Prescription Dispensing domain whereby submitted insurance claims are evaluated, validated, and reconciled to authorize reimbursement for prescribed medications.

96

Publications

4.8K

Citations

419

Authors

197

Institutions

Publications per year

2017–2026

29

Variants

Insurance Claim Processing

Parents

Children

Publications

96

Accuracy of diabetes diagnosis in health insurance claims data in Taiwan.

Cheng-Ching Lin, Mei‐Shu Lai, Ci-Yong Syu et al. · PubMed · 2005 · 515 citations

, , +10

Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges.

M. Kent Ranson · PubMed · 2002 · 388 citations · Full text

, , +15

Validating the diagnosis of acute ischemic stroke in a National Health Insurance claims database

Cheng-Yang Hsieh, Chih‐Hung Chen, Chung‐Yi Li et al. · Journal of the Formosan Medical Association · 2013 · 384 citations · Full text

, , +8

Using Claims Data for Epidemiologic Research

Lois Quam, Lynda B.M. Ellis, Pat Venus et al. · Medical Care · 1993 · 198 citations

, , +15

Are Claims Data Accurate Enough to Identify Patients for Performance Measures or Quality Improvement? The Case of Diabetes, Heart Disease, and Depression

Leif I. Solberg, Karen I Engebretson, JoAnn M. Sperl‐Hillen et al. · American Journal of Medical Quality · 2006 · 171 citations

, , +15

1–5 of 96

Authors

419

  1. JR
    Jeffrey R. Curtis

    University of Alabama at Birmingham, United States

    5 publications · 278 citations

    5

    h-index

  2. ML
    Meredith L. Kilgore

    University of Alabama at Birmingham, United States

    3 publications · 67 citations

    3

    h-index

  3. ED
    Elizabeth Delzell

    University of Alabama at Birmingham, United States

    2 publications · 96 citations

    2

    h-index

  4. FX
    Fenglong Xie

    University of Alabama at Birmingham, United States

    2 publications · 26 citations

    2

    h-index

  5. MM
    Monika M. Safford

    University of Alabama at Birmingham, United States

    2 publications · 170 citations

    2

    h-index

1–5 of 419

Institutions

197

  1. Harvard University

    Cambridge, United States

    8 h-index

    30 publications

    2.4K citations

  2. Brigham and Women's Hospital

    Boston, United States

    7 h-index

    27 publications

    2.2K citations

  3. University of Alabama at Birmingham

    Birmingham, United States

    7 h-index

    46 publications

    2.7K citations

  4. University of Michigan

    Ann Arbor, United States

    4 h-index

    13 publications

    644 citations

  5. Amgen (United States)

    Thousand Oaks, United States

    3 h-index

    4 publications

    163 citations

  6. University of Pennsylvania

    Philadelphia, United States

    3 h-index

    5 publications

    76 citations

  7. The University of Sydney

    Sydney, Australia

    2 h-index

    5 publications

    149 citations

  8. New York University

    New York, United States

    2 h-index

    2 publications

    27 citations

1–8 of 197

Venues

  1. PubMed

    Repository · 6 publications · 1K citations

    6

    h-index

  2. Medical Care

    5 publications · 363 citations

    5

    h-index

  3. Pharmacoepidemiology and Drug Safety

    4 publications · 90 citations

    4

    h-index

  4. Insurance Mathematics and Economics

    3 publications · 40 citations

    3

    h-index

  5. Obesity Surgery

    2 publications · 31 citations

    2

    h-index

1–5