describe and provide examples of at least four core operational competencies of a typical managed care...

Question

Question

describe and provide examples of at least four core operational competencies of a typical managed care information system

Answer 1

Answer #1

Ans) A managed care information system should be relied on for the following core operational competencies:

- Benefit configuration & Employer group and member enrollment &νβσπ

- Claims payment & &νβσπ

- Premium management

- Provider enrollment, contracting and credentialing & &νβσπ

- Customer services

Answer 2

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