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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 8, 2002.
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
Prior to June 2022, Elevance Health was named Anthem, Inc. [2] The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Anthem Blue Cross in California, [3] Wellpoint, and Carelon. [4]
After 3 months, Mercy and insurance provider Anthem agree on multi-year contract. Gannett. Susan Szuch, Springfield News-Leader. December 4, 2024 at 12:38 PM.
The provider must submit a credentialing application that details their training and qualifications to treat patients in their area of specialty. While hospitals and health systems typically have their own provider enrollment team to perform this function, independent group practices and solo practitioners may contract with another organization ...
Any credentialing organization that conforms to the recent International Liaison Committee on Resuscitation guidelines for Basic Life Support. Certified Genetic Counselor: CGC: The American Board of Genetic Counseling (ABGC) is the credentialing organization for the genetic counseling profession in the United States and Canada. The ABGC ...
Dental service organizations, known in the industry as dental support organizations [1] or abbreviated to DSOs, are independent business support centers that contract with dental practices in the United States. They provide business management and support to dental practices, including non-clinical operations. [2] [3]
Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [ 29 ]