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  2. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    A Payment Integrity Institution that has joined the Optum family. Jan 2021: UnitedHealth Group announces acquisition of Change Healthcare LLC, evaluated to worth $8 billion, in addition to paying off its $5 billion debt for a total of $13 billion. [13] It is said to be merged with OptumInsight.

  3. Change Healthcare - Wikipedia

    en.wikipedia.org/wiki/Change_Healthcare

    In May 2012, the company acquired TC3 Health, a cost containment provider, including payment integrity and out-of-network claims cost management, to U.S. healthcare payers. [26] In June 2013, the company acquired Gold Health Systems, a healthcare management organization that specializes in providing pharmacy benefits and related services ...

  4. Magellan and Performant Announce Strategic Relationship to ...

    www.aol.com/2013/02/06/magellan-and-performant...

    Magellan and Performant Announce Strategic Relationship to Provide Payment Integrity Recovery Services for Specialty Pharmacy AVON, Conn.--(BUSINESS WIRE)-- Today, Magellan Health Services Inc ...

  5. EXL Service - Wikipedia

    en.wikipedia.org/wiki/EXL_Service

    EXL acquired SCIOInspire Holdings, a healthcare analytics company on July 2, 2018. The company, known as SCIO Health Analytics, specializes in healthcare data and analytics, with a focus on payment integrity and fraud, waste, and abuse.

  6. HMS Debuts HMS IntegritySourceSM Payment Integrity Suite - AOL

    www.aol.com/2013/08/16/hms-debuts-hms-integrity...

    HMS Debuts HMS IntegritySource SM Payment Integrity Suite NEW YORK--(BUSINESS WIRE)-- HMS, a wholly owned subsidiary of HMS Holdings Corp. (NAS: HMSY) , announced today the rollout of its ...

  7. HMS Holdings - Wikipedia

    en.wikipedia.org/wiki/HMS_Holdings

    HMS Holdings Corp. (Healthcare Management Systems) was founded in 1974 and is based in Irving, Texas. The company was formerly listed on Nasdaq but acquired by private-equity firm Veritas Capital in 2021. [1]

  8. National Practitioner Data Bank - Wikipedia

    en.wikipedia.org/wiki/National_Practitioner_Data...

    The National Practitioner Data Bank (NPDB) is a database operated by the U.S. Department of Health and Human Services that contains medical malpractice payment and adverse action reports on health care professionals. Hospitals and state licensing boards submit information on physicians and other health care practitioners, including clinical ...

  9. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    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. [1] This bill is called a claim. [2]