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  2. California Major Risk Medical Insurance Program - Wikipedia

    en.wikipedia.org/wiki/California_Major_Risk...

    The California Major Risk Medical Insurance Program (MRMIP) is a program of the Managed Risk Medical Insurance Board that provides health insurance for Californian citizens who are unable to obtain coverage in the individual health insurance market because of their pre-existing conditions. Californians qualifying for the program, participate in ...

  3. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]

  4. California Department of Managed Health Care - Wikipedia

    en.wikipedia.org/wiki/California_Department_of...

    Two state-based health insurance regulators is unusual in the United States, and has led to various additional work to synchronize laws. [3] This dual regulation arose due for historical reasons, and when the DMHC was created in 2000, the California legislature requested a report on merging the health insurer responsibilities with the CDI. [4 ...

  5. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    The Affordable Care Act of 2010 was designed primarily to extend health coverage to those without it by expanding Medicaid, creating financial incentives for employers to offer coverage, and requiring those without employer or public coverage to purchase insurance in newly created health insurance exchanges. This requirement for almost all ...

  6. Health insurance - Wikipedia

    en.wikipedia.org/wiki/Health_insurance

    National Health Insurance is designed for those who are not eligible for any employment-based health insurance program. The Late-stage Elderly Medical System is designed for people who are age 75 and older. [[[Health insurance#Japan#{{{section}}}| contradictory]]] [41] National Health Insurance is organised on a household basis.

  7. Medi-Cal - Wikipedia

    en.wikipedia.org/wiki/Medi-Cal

    The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.

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  9. Health insurance coverage in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_coverage...

    "In 2018, 8.5 percent of people, or 27.5 million, did not have health insurance at any point during the year. The uninsured rate and number of uninsured increased from 2017 (7.9 percent or 25.6 million). The percentage of people with health insurance coverage for all or part of 2018 was 91.5 percent, lower than the rate in 2017 (92.1 percent).

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