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Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
This is a list of insurance companies based in the United States. These are companies with a strong national or regional presence, having insurance as their primary business. History
Aetna Cited by KLAS Research as 'Transformational Partner' for Providers -- Aetna Receives Accolades from Providers in KLAS Report on Accountable Care Payers -- HARTFORD, Conn.--(BUSINESS WIRE ...
By consolidating this information into the Superbill, healthcare providers create a structured summary that facilitates claim submission and ensures proper documentation for payor review. This step is vital in maintaining accuracy and minimizing errors during the medical billing process.
Private insurance companies, such as Cigna and Aetna, offer supplement policies, called Medigap, to help cover some Medicare out-of-pocket costs.
Provider revenues are fixed, and each enrolled patient makes a claim against the full resources of the provider. In exchange for the fixed payment, physicians essentially become the enrolled clients' insurers, who resolve their patients' claims at the point of care and assume the responsibility for their unknown future health care costs.
In 2010 about 250 plans participate in the program. [3] About 20 plans are nationwide or almost nationwide, such as the ones offered by some employee unions such as the National Association of Letter Carriers, by some employee associations such as GEHA, and by national insurance companies such as Aetna and the Blue Cross and Blue Shield Association on behalf of its member companies.
Because one provider may outsource part of the care of a patient to other providers, it may be difficult to assign financial accountability for a given bundled payment. [ 4 ] There is an administrative and operational burden, for example in establishing fair compensation rates.