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  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    In order to be clear on the payment of a medical billing claim, the health care provider or medical biller must have complete knowledge of different insurance plans that insurance companies are offering, and the laws and regulations that preside over them. Large insurance companies can have up to 15 different plans contracted with one provider.

  3. Current Procedural Terminology - Wikipedia

    en.wikipedia.org/wiki/Current_Procedural_Terminology

    Despite the copyrighted nature of the CPT code sets, the use of the code is mandated by almost all health insurance payment and information systems, including the Centers for Medicare and Medicaid Services (CMS), and the data for the code sets appears in the Federal Register. It is necessary for most users of the CPT code (principally providers ...

  4. Prospective payment system - Wikipedia

    en.wikipedia.org/wiki/Prospective_payment_system

    A prospective payment system (PPS) is a term used to refer to several payment methodologies for which means of determining insurance reimbursement is based on a predetermined payment regardless of the intensity of the actual service provided. It includes a system for paying hospitals based on predetermined prices, from Medicare.

  5. List of United States insurance companies - Wikipedia

    en.wikipedia.org/wiki/List_of_United_States...

    In 1820, there were 17 stock life insurance companies in the state of New York, many of which would subsequently fail. Between 1870 and 1872, 33 US life insurance companies failed, in part fueled by bad practices and incidents such as the Great Chicago Fire of 1871. 3,800 property-liability and 2,270 life insurance companies were operating in ...

  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. Insurance policy - Wikipedia

    en.wikipedia.org/wiki/Insurance_policy

    In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy language.

  8. Chargemaster - Wikipedia

    en.wikipedia.org/wiki/Chargemaster

    The chargemaster may be alternatively referred to as the "charge master", "hospital chargemaster", or the "charge description master" (CDM). [4] [5] It is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider.

  9. Category:Types of insurance - Wikipedia

    en.wikipedia.org/wiki/Category:Types_of_insurance

    It should only contain pages that are Types of insurance or lists of Types of insurance, as well as subcategories containing those things (themselves set categories). Topics about Types of insurance in general should be placed in relevant topic categories .