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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]
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]
In 2006, the company name was changed to Compass Rose Benefits Group (CRBG) and eligibility was extended to include all employees of the Intelligence Community (IC). In 2007, Coventry Health Care became the health plan underwriter. In 2008, CRBG extended eligibility to include civilian employees and retirees of the Department of Defense (DoD).
The Medicare Extra Help program helps Medicare beneficiaries pay for Part D drug coverage premiums, deductibles, coinsurance, and other costs. To qualify, individuals must have an income capped at ...
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In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.
UHG declined to comment on if it paid the ransom. The latest data shows 90% of claims are flowing uninterrupted for health providers, and pharmacies should be fully back online by Thursday, UHG ...
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