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Conference 35.181::insurance

Title:Insurance Industry Conference
Moderator:ICPSRV::DOVE
Created:Thu Feb 18 1988
Last Modified:Wed Feb 05 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:136
Total number of notes:551

105.0. "Insurance Data?" by USWAV1::BRAMHALL () Mon Aug 06 1990 18:41

    In general, is the raw data that insurance companies collect with their
    different systems made available to doctors in some format?
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105.1POCUS::OHARABobMon Aug 06 1990 22:123
Off hand, I'd say no.  At least not that I've come across.

Just curious, specifically what raw data would the doctor be interested in?
105.2ClarificationUSWAV1::BRAMHALLTue Aug 07 1990 15:034
    All doctors receive from insurance companies lists of prices specific to
    services rendered that they can expect to get reimbursed. I was curious
    if insurance companies made other data available to the outside world.
    Regards,                                              
105.3DoubtfulPOCUS::OHARABobTue Aug 07 1990 16:062
They have enough trouble distributing meaningful date within their 
own organization, much less outside.
105.4R&C INFORMATIONCSG001::BAKERWed Aug 15 1990 17:205
    I think that there is some confusion. Blue Cross provides doctors
    with a list of the fees they will accept. Insurance companies may
    provide Doctors with "Reasonable and Customery" charges that they
    will CONSIDER, but the actual amount paid will depend on the plan
    of insurance that the patient has.