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SSI indicator rates are further stratified by insurer type and type of indicator, e.g. inpatient indicator versus outpatient indicator.
These cardiac procedure episodes are assigned sex, gender, insurer type (e.g. Medicare versus commercial), and a chronic disease score (Clark TC score) based on member information [ 18, 19].
Programs, on default settings, provided descriptive tables of SSI indicators stratified by hospital, insurer type, SSI indicator (inpatient, outpatient, antibiotic), and six-month period.
Furthermore, SSI indicators are stratified by insurer type, cardiac procedure type (e.g. total, invasive, non-invasive), indicator type (e.g. total, inpatient, emergency department, ambulatory care, antibiotic), and half-year.
In addition, the UHG data showed that Medicare insurer type (OR = 1.4, CI: 1.0, 1.8) and a chronic disease score ≥ 4,500 (OR = 2.0, CI: 1.3, 3.3) were also significantly associated with having an infection indicator within the 30-day period following the procedure.
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We didn't start out by trying to rate these four companies specifically -- we picked them because they all had marketplace plans that matched our search criteria, and because taken together they cover a large range of insurer types.
Similarly, the explanation of benefits (EOB), a statement sent by the insurer detailing the type of service received and the cost, should be treated like a bank or credit card statement.
I get offered a variety of plans from our insurer, with different types of coverage and different co-pays.
Mark G. Peters, who heads the quasi-public Liquidation Bureau, which protects consumers who hold policies with failed insurance companies, said the government viewed burial societies as a type of insurer.
It is incorporated as a "captive," a type of insurer that provides little disclosure of its financial condition.
Moreover, previous contact with the insurer and the former type of health policy are also of influence.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com