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UnitedHealthcare (UHC) is an insurance and managed care company with four main divisions: UnitedHealthcare Employer and Individual – provides health benefit plans and services for large national employers and individuals. UnitedHealthcare Medicare and Retirement – provides health and well-being services to individuals age 65 and older. [80]
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
Health Care Service Corporation, a Mutual Legal Reserve Company, (HCSC) is a member-owned health insurance company in the United States. HCSC was formerly known as Hospital Service Corporation and changed its name to Health Care Service Corporation in 1975.
The NPI is often a common denominator between various healthcare provider identifier numbers, such as CMS Certification Number [10] (CCN; formerly OSCAR number), Employer Identification Number, and PECOS Associate Control ID [11] (PAC ID). With an increasing number of publicly available datasets containing these identifiers, some organizations ...
Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) and various direct healthcare services.
Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States–based federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.
Eliminating administrative overhead through a single-payer, "Medicare for All" approach, to reduce overhead from the current 25% of expenditures to the 10-15% level of best practice countries. Granting the government additional power to reduce the compensation of doctors and hospitals, as it does with Medicare and Medicaid.
HCUP includes multiyear hospital administrative (inpatient, outpatient, and emergency department) data in the United States, with all-payer, encounter-level information beginning in 1988. These databases enable research on health and policy issues at the national, State, and local levels, including cost and quality of health services, medical ...