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Fundamentals of Health Insurance, Part B (Basics of Company Operations)

After you master the basics covered in Fundamentals of Health Insurance, Part A (Basics of Health Insurance), build from there by focusing on the operational side. AHIP's Fundamentals of Health Insurance, Part B (Company Operations) online course is a thorough introduction to the business principals, processes, and procedures that make health insurance work.

Course Details


$175 AHIP Members
$225 Non-Members
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Enrollment takes place at a third-party website. When you arrive, log in or create an account and browse our online catalog.

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At a Glance

  • Students have up to 90 days to complete course
  • Counts toward DHP, HCSA, HIA®, and MHP professional designations
  • Flexible, self-paced online format
  • Technical support available by phone or email

What You’ll Learn

  • Explore how group health insurance plans are administered
  • Understand the landmark health care reform initiatives that underpin the health care industry
  • Gain a solid foundation in policy issuance, installation, and the renewal process
  • Get up to speed on premium billing and payment
  • Learn how to manage, submit, and process claims
  • Identify best practices for controlling operational costs
  • Assess how health insurance providers promote cost-effective health care
  • Put the brakes of fraud and abuse: learn how to define, detect, and prevent it
  • Nail the concepts behind product pricing strategies
  • Learn how to navigate the regulatory process at the state and federal levels
  • Understand how advances in health information technology lead to improvements in health care quality and efficiency
  • Dive into the concept of medical homes and see how their focus on preventive care lowers costs
  • Learn the elements, implementation, and expected return from wellness programs
  • Pinpoint who buys and sells health care and at what pricing levels
  • Assess the federal government’s role in advancing cost and quality transparency

Who Should Take This Course

  • Agents and brokers
  • Case managers
  • Health insurance provider staff
  • Medical directors
  • Technical business solutions advisors

For even greater ROI, contact our experts at or call the Support Team at 866.234.6909. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Interested in getting the AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!

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