SPECIALISED DIPLOMA ON HEALTH INSURANCE

Note: Candidate passed Licentiate in Non-Life Branch i.e. Subject No. 01, 11 and 14 or any other subjects of 20/30/40 Credit Points is eligible for Specialized Diploma Course on Health Insurance.

IC - 35 : Basics of Health Insurance

Contents

Chapter 1: Health care In India

Chapter 2: Health Financing And Insurance Models.

Chapter 3: Health Insurance In India.

Chapter 4: Health Insurance Underwriting Principles.

Chapter 5: Health Insurance Underwriting Practices.

Chapter 6: Health Insurance Products.

Chapter 7: Health Insurance Marketing And Distribution.

Health Insurance Certification Examination Question Paper

IC - 35 : Basics of Health Insurance

IC - 36 : Health Insurance Claims Management

Contents

Chapter 1: Instructional Module.

Chapter 2: Claims Management.

Chapter 3: Role Of Third Party Administrators In Health Insurance Claims.

Chapter 4: Provider Network Management.

Chapter 5: Claims Management - Cost Containment.

Chapter 6: Medical Coding.

Chapter 7: Fraud And Abuse Control.

IC - 36 : Health Insurance Claims

IC - 37 : Health Insurance Operations

Contents

Chapter 1: Policy Administration And Accounting.

Chapter 2: Customer Service In Health Insurance.

Chapter 3: Data Management & Warehousing.

Chapter 4: Health Insurance- Mis And Analytics.

Chapter 5: The Role Of It In Health Insurance.

Chapter 6: Government And Social Health Insurance Schemes In India.

Chapter 7: Government Health Insurance Scheme – Rashtriya Swasthiya Bima Yojana.

IC - 37 : Health Insurance Operations

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