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  2. Silent PPO - Wikipedia

    en.wikipedia.org/wiki/Silent_PPO

    For a given provider, the amount of discount varies between different insuring entities, and a separate contract is negotiated with each entity. Silent PPOs create agreements with insuring entities, allowing buyers into the Silent PPO to access the terms of the lowest discounted rate available.

  3. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Insurance policies often include specific guidelines regarding covered procedures and exclusions, and these rules can change annually. To avoid billing complications, it is critical for the healthcare provider to stay informed about the most recent coverage requirements for each insurance plan. Step 3: Assigning Codes [4]

  4. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting medical transactions. The use of Level III codes was discontinued on December 31, 2003, in order to adhere to consistent coding standards.

  5. Preferred provider organization - Wikipedia

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

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  6. 20 Car Insurance Discounts You Need to Know About Now - AOL

    www.aol.com/20-car-insurance-discounts-know...

    The minimum GPA required usually depends on the car insurance provider, but is often a 3.0 average or higher. You may have to send in a report card every year to maintain this discount. DMP ...

  7. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    In the United States, health insurance providers often hire an outside company to handle price negotiations, insurance claims, and distribution of prescription drugs. Providers which use such pharmacy benefit managers include commercial health plans , self-insured employer plans, Medicare Part D plans , the Federal Employees Health Benefits ...

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