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Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.
To qualify for federal child-support services funds, each state must have a centralized unit to receive and distribute child-support payments made through income withholding, even if a family has not enrolled in the full child-support services program. In fiscal year 2015, more than $1.4 billion was collected in support owed to Illinois children.
Get Covered Illinois is the health insurance marketplace for the U.S. state of Illinois. The exchange enables people and small businesses to purchase health insurance at federally subsidized rates. Since its inception, over 388,179 Illinois consumers have gained health insurance coverage. [1]
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Members of the Pre-Existing Condition Insurance Program, who were given a one-month extension until the end of April 2014. [30] [31] Those who have successfully applied for exemption status based on criteria published by HealthCare.gov, who are not required to pay a tax penalty if they don't enroll in a health insurance plan. [32] [33]
The company was founded in 1936 and is based in Chicago, Illinois with a network of offices in the United States. Health Care Service Corporation is the licensee of the Blue Cross and Blue Shield Association for five states. It concentrates its operations in Illinois, Montana, New Mexico, Oklahoma, and Texas.
Per Illinois state Mandatory Insurance Law 625 ILCS 5/3-707, all vehicles with valid registration must carry the required insurance coverage to avoid the following possible penalties: Paying a fine
Key insurance industries it regulates include health insurance, auto insurance, homeowners insurance, and life insurance. [1] The department is the umbrella agency that operates the Illinois Health Benefits Exchange (IHBE), a health insurance marketplace that serves as an intermediary between Illinois residents and the health-insurance mandate ...
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