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  2. nH Predict - Wikipedia

    en.wikipedia.org/wiki/NH_Predict

    nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana [1] [2] to automatically deny coverage to patients. [3] [4] [5] It is reported to work by cross-correlating patient health records with those of other patients. [6]

  3. UnitedHealth Group - Wikipedia

    en.wikipedia.org/wiki/UnitedHealth_Group

    It originally processed claims for doctors at the Hennepin County Medical Society. [5] UnitedHealthcare Corporation was founded in 1977 to purchase Charter Med and create a network-based health plan for seniors. [6] It became a publicly traded company in 1984 and changed its name to UnitedHealth Group in 1998. [7]

  4. TriWest Healthcare Alliance - Wikipedia

    en.wikipedia.org/wiki/TriWest_Healthcare_Alliance

    TriWest Healthcare Alliance is a Phoenix, Arizona based corporation that manages health benefits under the United States Department of Veterans Affairs (VA) VAPCCC program in Regions 3, 5, and 6. [1] On October 1, 2018, TriWest's contract for VAPCCC was expanded to cover Regions 1, 2, and 4.

  5. The spotlight is on health insurance companies. Patients are ...

    www.aol.com/lifestyle/denied-claims-bankruptcy...

    UHC denied my claim, and I paid $1,400 out of pocket,” they said. “I'm one of the lucky ones. Can’t imagine how people would feel if that happened for critical or life-saving care.”

  6. UnitedHealth sued for allegedly using AI to deny elderly ...

    www.aol.com/unitedhealth-sued-allegedly-using-ai...

    UnitedHealth Group is being sued for allegedly using an artificial intelligence algorithm to systematically deny elderly patients rehabilitative care.. The class action lawsuit, filed Tuesday in ...

  7. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...

  8. Blue Button - Wikipedia

    en.wikipedia.org/wiki/Blue_Button

    The Blue Button Logo, April 2012. The Blue Button is a system for patients to view online and download their own personal health records.Several Federal agencies, including the Departments of Defense, Health and Human Services, and Veterans Affairs, implemented this capability for their beneficiaries. [1]

  9. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    As stated in a 2006 Institute of Medicine (IOM) report, "HEDIS measures focus largely on processes of care"; [14] the strengths of process measures include the facts that they "reflect care that patients actually receive," thereby leading to "buy-in from providers," and that they are "directly actionable for quality improvement activities" [14 ...

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