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Insurance Company Mind Map

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by

Deborah Lovern

on 17 June 2015

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Transcript of Insurance Company Mind Map

OPERATIONAL
AREAS

PRODUCT DEVELOPMENT
CLIENT / GROUP
MANAGEMENT

SALES & MARKETING
Insurance Company Mind Map
ID CARDS
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
PRODUCTS
MEDICAL
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
DESCRIPTION OF BUSINESS WORK FLOW OR ACTORS GOES HERE
RATE SETTING
RATE SETTING WORKFLOW
DEFINITION OF WORKFLOW OR ACTORS
PRODUCTS BASED ON RISK ANALYSIS
PRODUCT ONE
Product description or workflow
PRODUCT TWO
Product two workflow or description
PRODUCT THREE
Product three workflow or description
CONFIGURATION
Benefit Plans / Packages
Context - what is a plan/package
Who are the actors?
What is the preferred workflow?
Includes / Excludes
Context - what is Includes / Excludes
Who are the actors?
What is the preferred workflow?
Code Management &
Reference Tables
Context - what is CM & RT
Who are the actors?
What is the preferred workflow?
Cross-Walks
Context - define necessary crosswalks.
Who are the actors?
What is the preferred workflow?
Cross-Walk for Languages
Context - what language needs translating?
Who are the actors?
What is the preferred workflow?
DRG Management
Context - what is DRG Mgmt
Who are the actors?
What is the preferred workflow?
DENTAL
Define the product and/or link to a product definition
VISION
Define the product and/or link to a product definition
DISABILITY
LONG-TERM DISABILITY (LTD)
Define the product and/or link to a product definition
SHORT-TERM DISABILITY (STD)
Define the product and/or link to a product definition
HOSPICE
Define the product and/or link to a product definition
LONG-TERM CARE
Define the product and/or link to a product definition
LIFE
Define the product and/or link to a product definition
BEHAVIORAL HEALTH
Define the product and/or link to a product definition
WORKERS COMPENSATION
Define the product and/or link to a product definition
CARVE OUT SERVICES
Define the product and/or link to a product definition
BENEFIT DESIGN
POLICY - Define the policy and/or link to a definition
MEMBER / PATIENT
MANAGEMENT

DEMOGRAPHICS
OTHER
INSURANCE
COVERAGE
HEALTH
ASSESSMENTS
DISEASE
MANAGEMENT
PATIENT
PORTALS
POPULATION
MANAGEMENT
PERSONAL
HEALTH
RECORDS
EHR
SHOPPING
FOR
BEST
PLAN
ENROLLMENT
CUSTOMER SERVICE
Increase in ICD-10 calls
READINESS
CODE MEANING
MEMBER COMMUNICATIONS
CLINICAL
NEWSLETTERS
REMINDERS
OR
FOLLOW-UP
MEMBER PORTALS
PERSONAL
HEALTH
RECORDS
ENROLLMENT
DATA
CLAIM
DATA
CLINICAL
CONTENT
PROVIDER PORTALS
PROVIDER / NETWORK
ENROLLMENT
AUTHORIZATION
REQUESTS
CLAIM
INPUT
REPORTING
REPORTS
&
LETTERS
PRODUCTIVITY
METRICS
LIST OF METRICS
AND THEIR
DEFINTIONS
INFORMATION TECHNOLOGY (IT)
Full transcript