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Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...
Providence Health & Services is a not-for-profit Catholic healthcare system headquartered in Renton, Washington. The health system includes 51 hospitals, more than 800 non-acute facilities, and numerous assisted living facilities in the western half of the United States (Alaska, Washington, Oregon, California, Montana, New Mexico, and Texas ...
A preferred provider organization is a subscription-based medical care arrangement. [1] A membership allows a substantial discount below the regularly charged rates of the designated professionals partnered with the organization. Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the ...
An individual may request the information in electronic form or hard-copy, and the provider is obligated to attempt to conform to the requested format. For providers using an electronic health record ( EHR ) system that is certified using CEHRT (Certified Electronic Health Record Technology) criteria, individuals must be allowed to obtain the ...
Website. www.bcbs.com. Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States -based federation with 33 independent and locally-operated BCBSA companies that provide health insurance in the United States to more than 115 million people as of 2022. [2][3] It was formed in 1982 from the merger of its two ...
OAuth (short for open authorization[1][2]) is an open standard for access delegation, commonly used as a way for internet users to grant websites or applications access to their information on other websites but without giving them the passwords. [3][4] This mechanism is used by companies such as Amazon, [5] Google, Meta Platforms, Microsoft ...
Security Assertion Markup Language. Security Assertion Markup Language (SAML, pronounced SAM-el, / ˈsæməl /) [1] is an open standard for exchanging authentication and authorization data between parties, in particular, between an identity provider and a service provider.
Website. www.caqh.org. The Council for Affordable Quality Healthcare, Inc. (CAQH) is a non-profit organization [4] incorporated in California as a mutual benefit corporation. It was first incorporated under the name Coalition for Affordable, Quality Healthcare, Inc., and then renamed the Council for Affordable Quality Healthcare, Inc. on August ...