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  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    The second is the healthcare provider, a term that encompasses not only physicians but also hospitals, physical therapists, emergency rooms, outpatient facilities, and other entities delivering medical services. The third and final party is the payor, typically an insurance company, which facilitates reimbursement for the services rendered.

  3. Third-party administrator - Wikipedia

    en.wikipedia.org/wiki/Third-party_administrator

    Third-party administrators are prominent players in the health care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other ...

  4. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  5. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    In the United States, health insurance providers often hire an outside company to handle price negotiations, insurance claims, and distribution of prescription drugs. Providers which use such pharmacy benefit managers include commercial health plans , self-insured employer plans, Medicare Part D plans , the Federal Employees Health Benefits ...

  6. Trustmark (benefits company) - Wikipedia

    en.wikipedia.org/wiki/Trustmark_(benefits_company)

    In October 2022, Trustmark finalized the sale of its subsidiary, Trustmark Health Benefits, to Health Care Service Corporation (HCSC). [8] Health Benefits is a third-party administrator of health benefits that designs and offers custom plans for mid- to large-sized self-funded customers. In January 2023, Trustmark celebrated 110 years in business.

  7. Gravie - Wikipedia

    en.wikipedia.org/wiki/Gravie

    Gravie is a health insurance marketplace headquartered in Minneapolis, Minnesota. [1] Gravie provides individually-tailored recommendations to individuals who are in the process of purchasing health insurance. [2] [3] [4] They are a licensed third-party administrator (TPA) that administers both level-funded health plans and an ICHRA solution.

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