About

About

This Pathway describes the different activities performed by Health Insurance Companies and Healthcare Providers when an Individual undergoes medical treatment.

This is the Pathway on Member Journey – The Service Phase.

By the end of this Pathway, you will be able to:

  • Understand the activities that take place when an insured person undergoes treatment
  • Understand and explain the healthcare reimbursement cycle
  • Explain the revenue cycle management and Utilization review