Health Insurance Fraud

In: Other Topics

Submitted By podsom
Words 4446
Pages 18
Health Insurance Fraud

By:
WAHEED ALKHAMEES
KHALED ALNAFEE

Further Issues Hospital Administration
PA 551

Master of Health and Hospital Administration (Parallel)
King Saud University

One:- Introduction
Definition
Insurance is the equitable transfer of the risk of a loss, from one entity to another in exchange for payment. It is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss.
An insurer, or insurance carrier, is a company selling the insurance; the insured, or policyholder, is the person or entity buying the insurance policy. The amount of money to be charged for a certain amount of insurance coverage is called the premium. Risk management, the practice of appraising and controlling risk, has evolved as a discrete field of study and practice.
The transaction involves the insured assuming a guaranteed and known relatively small loss in the form of payment to the insurer in exchange for the insurer's promise to compensate
(indemnify) the insured in the case of a financial (personal) loss. The insured receives a contract, called the insurance policy, which details the conditions and circumstances under which the insured will be financially compensated.
Types of Insurance Services
Insurance can take a number of different forms. Some of these types:


Auto insurance

Auto insurance protects the policyholder against financial loss in the event of an incident involving a vehicle they own, such as in a traffic collision. It might include property, liability and medical coverage.


Gap insurance

Gap insurance covers the excess amount on your auto loan in an instance where your insurance company does not cover the entire loan. Depending on the companies specific policies it might or might not cover the deductible as well.


Health insurance

Health insurance policies cover…...

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