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kynect, formerly and also called the Kentucky Health Benefit Exchange, is the health insurance marketplace, previously known as health insurance exchange, in the U.S. Commonwealth of Kentucky, created by then-Governor Steve Beshear in accordance with the Patient Protection and Affordable Care Act.
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.
In order to be clear on the payment of a medical billing claim, the health care provider or medical biller must have complete knowledge of different insurance plans that insurance companies are offering, and the laws and regulations that preside over them. Large insurance companies can have up to 15 different plans contracted with one provider.
UK HealthCare is the health care system that is based on the campus of the University of Kentucky (UK) in Lexington, Kentucky. It consists of the university's hospitals, clinics, outreach locations, and patient care services along with UKs health profession colleges.
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Norton Healthcare is a Kentucky healthcare system with more than 40 clinics and hospitals in and around Louisville, Kentucky. The hospital and health care system is the Louisville area's third largest private employer, located at more than 140 locations throughout Greater Louisville , and Southern Indiana .
Two Kentucky pharmacists who allegedly fraudulently billed insurance programs more than $1 million have been charged in an investigation of health care fraud. Providers charged in separate cases ...
Carewise Health, formerly SHPS, Inc. (pronounced "ships") is a national provider of health improvement programs. The company is headquartered in Louisville, Kentucky. Primary data center operations are in Minneapolis. Carewise Health has satellite offices in Minneapolis, Philadelphia, Scottsdale, Arizona, Seattle, and Walnut Creek, California.