{"id":44877,"date":"2026-09-19T16:51:08","date_gmt":"2026-09-19T13:51:08","guid":{"rendered":"https:\/\/finstockevarsity.com\/resources\/?post_type=product&p=44877"},"modified":"2026-09-19T19:20:14","modified_gmt":"2026-09-19T16:20:14","slug":"medical-insurance-administration","status":"publish","type":"product","link":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/","title":{"rendered":"Medical Insurance Administration"},"content":{"rendered":"
\n

Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.<\/p>\n","protected":false},"excerpt":{"rendered":"

This book contain the following topics:<\/p>\n

\u2022 Introduction to Medical Insurance Administration
\n\u2022 Insurance Policy Structures and Types
\n\u2022 Member Enrolment, Eligibility and Policy Management
\n\u2022 Medical Claims Processing and Adjudication
\n\u2022 Medical Coding and Billing Systems
\n\u2022 Provider Contracting and Network Management
\n\u2022 Fraud Detection, Prevention and Investigation in Medical Insurance
\n\u2022 Regulatory Compliance, Data Protection and Emerging Trends<\/p>\n\n\n\n\n\n\n\n
Category:<\/td>\nCertificate Level Book<\/td>\n<\/tr>\n
Publisher:<\/td>\nFinstock Evarsity Publishers<\/a><\/td>\n<\/tr>\n
ISBN:<\/td>\n<\/td>\n<\/tr>\n
Authors:<\/td>\nCPA John Kimani, Dr. James Scott<\/td>\n<\/tr>\n
Pages:<\/td>\n144<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"featured_media":44908,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"product_brand":[],"product_cat":[180,23],"product_tag":[],"class_list":["post-44877","product","type-product","status-publish","has-post-thumbnail","product_cat-insurance","product_cat-print-books","first","instock","downloadable","shipping-taxable","purchasable","product-type-simple"],"yoast_head":"\nMedical Insurance Administration - Finstock Evarsity Resources<\/title>\n<meta name=\"description\" content=\"Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical Insurance Administration - Finstock Evarsity Resources\" \/>\n<meta property=\"og:description\" content=\"Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/\" \/>\n<meta property=\"og:site_name\" content=\"Finstock Evarsity Resources\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/finstockevarsity\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-19T16:20:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/finstockevarsity.com\/resources\/wp-content\/uploads\/2026\/09\/Front-16.png\" \/>\n\t<meta property=\"og:image:width\" content=\"585\" \/>\n\t<meta property=\"og:image:height\" content=\"869\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@evarsity\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/\",\"url\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/\",\"name\":\"Medical Insurance Administration - Finstock Evarsity Resources\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/i0.wp.com\\\/finstockevarsity.com\\\/resources\\\/wp-content\\\/uploads\\\/2026\\\/09\\\/Front-16.png?fit=585%2C869&ssl=1\",\"datePublished\":\"2026-09-19T13:51:08+00:00\",\"dateModified\":\"2026-09-19T16:20:14+00:00\",\"description\":\"Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/#primaryimage\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/finstockevarsity.com\\\/resources\\\/wp-content\\\/uploads\\\/2026\\\/09\\\/Front-16.png?fit=585%2C869&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/finstockevarsity.com\\\/resources\\\/wp-content\\\/uploads\\\/2026\\\/09\\\/Front-16.png?fit=585%2C869&ssl=1\",\"width\":585,\"height\":869,\"caption\":\"Front\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/product\\\/medical-insurance-administration\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Shop\",\"item\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/shop\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Medical Insurance Administration\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/#website\",\"url\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/\",\"name\":\"Finstock Evarsity Resources\",\"description\":\"Your online e-resources portal\",\"publisher\":{\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/#organization\",\"name\":\"Finstock Evarsity Resources\",\"url\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/finstockevarsity.com\\\/resources\\\/wp-content\\\/uploads\\\/2018\\\/08\\\/full-logo-small.png?fit=473%2C403&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/finstockevarsity.com\\\/resources\\\/wp-content\\\/uploads\\\/2018\\\/08\\\/full-logo-small.png?fit=473%2C403&ssl=1\",\"width\":473,\"height\":403,\"caption\":\"Finstock Evarsity Resources\"},\"image\":{\"@id\":\"https:\\\/\\\/finstockevarsity.com\\\/resources\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/finstockevarsity\\\/\",\"https:\\\/\\\/x.com\\\/evarsity\",\"https:\\\/\\\/ke.linkedin.com\\\/in\\\/finstock-evarsity-75b147a0\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UC529k6jSRuNDWF6cVmFjqCQ\",\"https:\\\/\\\/www.instagram.com\\\/finstockevarsity\\\/\",\"https:\\\/\\\/www.tiktok.com\\\/@finstockevarsitycollege\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Medical Insurance Administration - Finstock Evarsity Resources","description":"Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/","og_locale":"en_US","og_type":"article","og_title":"Medical Insurance Administration - Finstock Evarsity Resources","og_description":"Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.","og_url":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/","og_site_name":"Finstock Evarsity Resources","article_publisher":"https:\/\/www.facebook.com\/finstockevarsity\/","article_modified_time":"2026-09-19T16:20:14+00:00","og_image":[{"width":585,"height":869,"url":"https:\/\/finstockevarsity.com\/resources\/wp-content\/uploads\/2026\/09\/Front-16.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@evarsity","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/","url":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/","name":"Medical Insurance Administration - Finstock Evarsity Resources","isPartOf":{"@id":"https:\/\/finstockevarsity.com\/resources\/#website"},"primaryImageOfPage":{"@id":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/#primaryimage"},"image":{"@id":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/#primaryimage"},"thumbnailUrl":"https:\/\/i0.wp.com\/finstockevarsity.com\/resources\/wp-content\/uploads\/2026\/09\/Front-16.png?fit=585%2C869&ssl=1","datePublished":"2026-09-19T13:51:08+00:00","dateModified":"2026-09-19T16:20:14+00:00","description":"Medical Insurance Administration provides a comprehensive guide to managing health insurance operations and member services. The book covers policy structures, enrolment procedures, claims processing, and medical coding systems including ICD and CPT. It shows how to manage provider networks, detect fraud, and ensure regulatory compliance in healthcare settings. This book equips students with practical skills for claims adjudication, reimbursement, and policy administration. It also covers emerging trends including telemedicine, digital health, and AI applications in medical insurance.","breadcrumb":{"@id":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/#primaryimage","url":"https:\/\/i0.wp.com\/finstockevarsity.com\/resources\/wp-content\/uploads\/2026\/09\/Front-16.png?fit=585%2C869&ssl=1","contentUrl":"https:\/\/i0.wp.com\/finstockevarsity.com\/resources\/wp-content\/uploads\/2026\/09\/Front-16.png?fit=585%2C869&ssl=1","width":585,"height":869,"caption":"Front"},{"@type":"BreadcrumbList","@id":"https:\/\/finstockevarsity.com\/resources\/product\/medical-insurance-administration\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/finstockevarsity.com\/resources\/"},{"@type":"ListItem","position":2,"name":"Shop","item":"https:\/\/finstockevarsity.com\/resources\/shop\/"},{"@type":"ListItem","position":3,"name":"Medical Insurance Administration"}]},{"@type":"WebSite","@id":"https:\/\/finstockevarsity.com\/resources\/#website","url":"https:\/\/finstockevarsity.com\/resources\/","name":"Finstock Evarsity Resources","description":"Your online e-resources portal","publisher":{"@id":"https:\/\/finstockevarsity.com\/resources\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/finstockevarsity.com\/resources\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/finstockevarsity.com\/resources\/#organization","name":"Finstock Evarsity Resources","url":"https:\/\/finstockevarsity.com\/resources\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/finstockevarsity.com\/resources\/#\/schema\/logo\/image\/","url":"https:\/\/i0.wp.com\/finstockevarsity.com\/resources\/wp-content\/uploads\/2018\/08\/full-logo-small.png?fit=473%2C403&ssl=1","contentUrl":"https:\/\/i0.wp.com\/finstockevarsity.com\/resources\/wp-content\/uploads\/2018\/08\/full-logo-small.png?fit=473%2C403&ssl=1","width":473,"height":403,"caption":"Finstock Evarsity Resources"},"image":{"@id":"https:\/\/finstockevarsity.com\/resources\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/finstockevarsity\/","https:\/\/x.com\/evarsity","https:\/\/ke.linkedin.com\/in\/finstock-evarsity-75b147a0","https:\/\/www.youtube.com\/channel\/UC529k6jSRuNDWF6cVmFjqCQ","https:\/\/www.instagram.com\/finstockevarsity\/","https:\/\/www.tiktok.com\/@finstockevarsitycollege"]}]}},"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/product\/44877","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/comments?post=44877"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/media\/44908"}],"wp:attachment":[{"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/media?parent=44877"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/product_brand?post=44877"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/product_cat?post=44877"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/finstockevarsity.com\/resources\/wp-json\/wp\/v2\/product_tag?post=44877"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}