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  5. SCAN Health Plan - Wikipedia

    en.wikipedia.org/wiki/SCAN_Health_Plan

    The Senior Care Action Network, or SCAN, was created based on the proposal developed by the team at USC. (The new network was briefly known as the Long Beach Geriatric Healthcare Council, Inc., before changing its name to SCAN.) [3] Their healthcare delivery model was centered on assessing each senior's needs on an individual level in order to coordinate appropriately for each unique case ...

  6. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the use of their network, unlike the usual insurance with premiums and corresponding payments paid either in full or partially by the insurance provider to the medical doctor. They negotiate with providers to set fee schedules and ...

  7. Electronic remittance advice - Wikipedia

    en.wikipedia.org/wiki/Electronic_Remittance_Advice

    An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The explanations include the denial codes and the descriptions, which present at the ...

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  9. RealSelf - Wikipedia

    en.wikipedia.org/wiki/RealSelf

    RealSelf was founded in 2006 by Tom Seery, a former executive at Expedia. Seery told Geekwire he noticed a gap in the market where consumers could find quality information about travel-related businesses but minimal, "one-sided marketing" about expensive medical procedures. [6] RealSelf was initially self-funded by Seery.