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PRINTED: 12/17/2014 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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01
Gather all necessary information related to the coverage being analyzed such as policies, contracts, and any relevant documents.
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Identify the specific criteria for analysis such as coverage limits, exclusions, and deductibles.
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Review each policy or contract thoroughly and document the findings.
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Compare the coverage provided by each policy to the criteria for analysis.
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Summarize the findings and prepare a report detailing the analysis of coverage.

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Insurance companies may need analysis of coverage to assess risk and determine appropriate premiums.
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The analysis of coverage is filled with information about an individual or entity’s insurance coverage.
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Analysis of coverage is usually filled out online through the insurance company's website or by submitting a paper form.
The purpose of analysis of coverage is to ensure that individuals and entities have the appropriate insurance coverage in place.
Information such as insurance policy details, coverage limits, and expiration dates must be reported on analysis of coverage.
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