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In July 2020, BlueCross BlueShield of South Carolina and the BlueCross BlueShield of South Carolina Foundation joined several organizations well-established in the trenches of diabetes care, including the Alliance for a Healthier South Carolina and the state's Department of Health and Environmental Control, to launch Diabetes Free SC, a long ...
In South Carolina, that meant extra work to help people stay insured. When the COVID-19 pandemic ended, states resumed Medicaid eligibility checks. In South Carolina, that meant extra work to help ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Denied Claims. These claims are properly filed but do not meet the payor’s criteria for payment. Common reasons include billing for services not covered by the plan, highlighting the importance of verifying insurance coverage during patient registration. Denied claims require investigation to identify the issue and prevent future occurrences.
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South Carolina’s Medicaid enrollment increased by about 30% from February 2020 to May 2023. This increase in enrollment occurred across the country where Medicaid enrollment grew nationally by ...
Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]
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