MANAGING A RISK OF A LIABILITY THAT IS INCURRED IF AN INSURER DENIES COVERAGE FOR TREATING AN INSURED FOR A CONDITION

摘要

An embodiment of a risk-management method includes determining a risk that an insurer will deny coverage for treating an insured for a condition, and calculating, in response to a determined risk, a fee for taking an action if the insurer denies coverage for treating the insured. Such an embodiment may aid in managing a risk of a liability that may be incurred if an insurer under a medical insurance policy denies coverage for treating an insured under the policy. Examples of such liability include money owing to a physician or other provider that treated the insured, interest on the money owing, late fees and other penalties, and a downgrading of the credit of the insured or of a party financially responsible for the insured.