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  2. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual. [5]

  3. UnitedHealth Group - Wikipedia

    en.wikipedia.org/wiki/UnitedHealth_Group

    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]

  4. Template:Catalog lookup link/doc - Wikipedia

    en.wikipedia.org/wiki/Template:Catalog_lookup...

    This gets added in front of the last list item instead of the default whitespace which is added without this parameter. This may be necessary if |list-separator= is used not only to define the list separator but also parts of the item prefix (except for the first one). (At present, this is used only to cope with format oddities of the {} template.)

  5. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. [7]

  6. nH Predict - Wikipedia

    en.wikipedia.org/wiki/NH_Predict

    nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana [1] [2] to automatically deny coverage to patients. [3] [4] [5] It is reported to work by cross-correlating patient health records with those of other patients. [6]

  7. United Health Services - Wikipedia

    en.wikipedia.org/wiki/United_Health_Services

    United Health Services (UHS) (United Health Services Hospitals, Inc.) is the largest and most comprehensive provider of healthcare services in upstate New York's Southern Tier. [ 3 ] A locally owned, not-for-profit system, it is governed by a volunteer board of directors composed of residents from around the region. [ 4 ]

  8. User-Managed Access - Wikipedia

    en.wikipedia.org/wiki/User-Managed_Access

    In a typical OAuth flow: A resource owner (RO), a human who uses a client application, is redirected to an authorization server (AS) to log in and consent to the issuance of an access token. This access token allows the client application to gain API access to the resource server (RS) on the resource owner's behalf in the future, likely in a ...