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CareFirst BlueCross BlueShield is a health insurance provider serving 3.5 million individuals and groups in Maryland and the Washington metropolitan area.It has dual headquarters in Baltimore, Maryland and Washington, D.C. [2] [3] It is a nonprofit organization and an independent licensee of the Blue Cross Blue Shield Association.
The Council for Affordable Quality Healthcare, Inc. (CAQH) is a non-profit organization [4] incorporated in California as a mutual benefit corporation. It was first incorporated under the name Coalition for Affordable, Quality Healthcare, Inc., and then renamed the Council for Affordable Quality Healthcare, Inc. on August 8, 2002.
A credential service provider (CSP) is a trusted entity that issues security tokens or electronic credentials to subscribers. [1] A CSP forms part of an authentication system, most typically identified as a separate entity in a Federated authentication system. A CSP may be an independent third party, or may issue credentials for its own use. [1]
The provider must submit a credentialing application that details their training and qualifications to treat patients in their area of specialty. While hospitals and health systems typically have their own provider enrollment team to perform this function, independent group practices and solo practitioners may contract with another organization ...
Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [29]
In 2001, WellPoint offered to acquire CareFirst BlueCross BlueShield for $1.37 billion, including $119 million in bonuses to Carefirst executives. [32] In 2003, the offer was rejected by the Maryland insurance commissioner. [33] In March 2000, WellPoint acquired Rush Prudential Health Plans, a Chicago provider, for $204 million. [34]
The National Commission for Health Education Credentialing, Inc. (NCHEC, / ˈ ɛ n tʃ ɛ k /) is a professional health education credentialing body in the United States of America. The commission's office is located in Whitehall, Pennsylvania .
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...