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The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer. The format attempts to meet the health care industry's specific need for the initial enrollment and subsequent maintenance of individuals who are enrolled in insurance products.
Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
by health plans to coordinate benefits with other health plans; by health care clearinghouses in their internal files to create and process standard transactions and to communicate with health care providers and health plans; by electronic patient record systems to identify treating health care providers in patient medical records;
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.
Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
Aetna Cited by KLAS Research as 'Transformational Partner' for Providers -- Aetna Receives Accolades from Providers in KLAS Report on Accountable Care Payers -- HARTFORD, Conn.--(BUSINESS WIRE ...
In November 2012, Wellcare acquired Easy Choice Health Plan in California. [26] UnitedHealthcare's South Carolina Medicaid business was acquired in February 2013. [27] In April of that year, Aetna's Medicaid business in Missouri, Missouri Care, was acquired. [28] The Windsor Health Group was acquired by WellCare in January 2014. [29] [30]
Administrative data are electronic records of services, including insurance claims and registration systems from hospitals, clinics, medical offices, pharmacies and labs. For example, a measure titled Childhood Immunization Status requires health plans to identify 2-year-old children who have been enrolled for at least a year.