Insurance Physical Services
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Transcript of Insurance Physical Services
Presented By:
Guo Lee
Jian Pan
Heng Wang
Mingsang Bae
Ya-Wei Liang
Yuk-Ling Chan
Richmond Manzana
Group: 2
• A licensed franchisee of multiple Medical Evaluation Companies
• Coordinates transitions between Insurance Agents, Examiners and Labs
• Process paramedical exam request from Insurance Company
• Assign applicants to Examiners for physical examination and interview
• Assigning collections of specimen to qualified Lab
IPS
Insurance Company Medical Lab
Agents Examiners
CLIENT
IPS’s database is organized into a series of entities. • Person,
• Client,
• Agent,
• Examiner,
• Underwriter,
• Insurance Company,
• Broker ,
Each entity has a unique number, a unique name, and a set of attributes that describe it.
• Examining Company,
• Exam Order,
• Lab,
• Test Type,
• Questionnaire.
Examining Company has a network of independent Examiners who performed paramedical exam on prospect Client of Insurance Company. Examiner gathers specimen from Client, and passes it to the Lab for testing. Lab then passes the test results directly to Insurance Company underwriters for risk assessment.
IPS has contracts with multiple Examining Companies, each of which has contracts with multiple Insurance Companies. We keep track of the different Insurance Companies that each Examining Company has contract with. We also store the general information of Examining Company like address for billing purposes.
An Agent may represent multiple Insurance Company through Brokers by contracts. Client purchases insurance policy from Agent, who then submits Exam request of Test Types based on the policy purchased to IPS along with Client’s information for medical evaluation. IPS then assigns Client to an Examiner according to the Exam requested. A Client may be recommended by multiple Agents.
IPS stores each Client’s personal information such as name, social security number, policy requested, address, phone number, and birthday. IPS also keeps track of the completed and uncompleted Test Types that requested for the Clients. In addition, IPS tracks Client status, Examiner assignment, Exam schedule, Agent success rate, and billing in order to maximize efficiency and profit.
INSURANCECOMPANY
EXAMINING COMPANY
BROKER
EXAMORDER
AGENT
CLIENT
EXAMINER
PAYS
AFFILIATESWITH
DESINATES
CONTRACTS
SOLD POLICY TO
IS GIVEN TO
IS ASSIGNED TO
(1,M)
(1,N)
(1,M)
(1,N)
(1,N)
(1,1)
(1,M)
(1,N)(1,M)
(1,N)
(1,N)
(1,1)
(1,N)
(1,1)
UNDERWRITER
d.c.
TEST TYPE
CAN BECONDUCTED
BY
INCLUDES
(1,N)
(1,1)
(1,N)
REQUESTS
(1,N)
(1,1)
(0,N)
QUESTIONNAIRE
WRITES
SENDS SAMPLE TO
LAB
REVIEWSPERSON
REVIEWS REPORT
• Improves data accessibility
• Allow data monitoring and query
• Marketing, Human Resources and Profitability Analysis
• Efficiency in information entry, retrieval and processing
10-26Revises EER Diagram Due
10-22DP Review I
10-25
- EER Feedback
- Contacts Silvia for revising EER diagram
11-4
- Relational Design Begins
-Proposes & selects queries
11-11
- Client feedback on suggested queries
- Queries Finalizes
11-13
- Quantitative analysis on queries
- Revises Relational design
11-15
- Revises EER diagram
- Relational design finalizes
11-16
- finalizes 5 queries with analysis
- Presentation slide ready
11-18DP Review II