Abstract: A stratified sampling plan to audit health insurance claims is offered. The stratification is by dollar amount of the claim. The plan is representative in the sense that with high probability for each stratum, the difference in the average dollar amount of the claim in the sample and the average dollar amount in the population, is “small.” Several notions of “small” are presented. The...

Based on the perspective of ecological compensation and claims, this paper analyzes stability Beijing Tianjin Hebei haze governance alliance by using asymmetric evolutionary game model, obtains optimal strategy combination. The results show that: a reasonable standard is very important for enterprises to adopt energy-saving emission reduction strategies. Only when total value claims in two plac...

We consider the problem of dividing some amount of an infinitely divisible and homogeneous resource among agents having claims on this resource that cannot be jointly honored. A “rule” associates with each such problem a feasible division. Our goal is to uncover the structure of the space of rules. For that purpose, we study “operators” on the space, that is, mappings that associate to each rul...

We analyze the distribution of the number of claims and the aggregate claim sizes in an excess-of-loss reinsurance contract based upon the use of point processes. We first deal with a single excess-of-loss situation with an extra upper bound on the coverage of individual claims. Subsequently the results are extended to a reinsurance chain with k partners.

Purpose – The purpose of this paper is to examine how consumers respond differently to “scratch and save (SAS)” promotions versus “tensile price claims (TPC).” SAS promotions provide a possible discount (determined probabilistically) but conceal the exact amount until purchase. Tensile price claims (e.g. “up to 25 percent off on items marked with a red tag”) make imprecise price promotional cla...

Optimal placement of scattered generator sources in the main and secondary feeders of radial grid reduces energy losses, releases the capacity of existing feeders and improves the existing voltage profile. In this project determine the location and suitable for the production of production resources S cattered in radial feeders of unbalanced distribution networks, a new formulation solution is ...

In the paper we present an approach to the trust case development for DRIVE, the IT infrastructure supporting the processes of drugs distribution and application. The objectives of DRIVE included safer and cheaper drugs distribution and application. The trust case represents an argument supporting the trustworthiness of the DRIVE solution. It is decomposed into claims that postulate some trust ...

In the paper we present an approach to the architectural trust case development for DRIVE, the IT infrastructure supporting the processes of drugs distribution and application. The objectives of DRIVE included safer and cheaper drugs distribution and application. A trust case represents an argument supporting the trustworthiness of the system. It is decomposed into claims that postulate some tr...