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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 ...
After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.
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.
Aetna Launches Medicare Mobile Field Enrollment Tool For iPad ® Mobile tool will make online enrollment convenient, easier and faster, improving the experience for brokers, agents and members ...
For premium support please call: 800-290-4726 more ways to reach us
Aetna has about 200,000 Medicare Advantage customers in the state. And it has begun to offer plans to nearly 600,000 state employees and teachers for coverage that would go into effect July 1 ...
CVS Health's Caremark, Cigna's Express Scripts and UnitedHealth Group's Optum control the majority of the U.S. pharmacy benefit market, with their parent companies also operating health insurance ...
Prothyraia's means 'at the door' or 'at the door-way', [2] and is used to denote a goddess who presides over the area around the entrance to a building. [3] Prothyraia is an epiclesis of the goddesses Eileithyia, Hecate, and Artemis; [2] Prothyraia is attested as an epithet of Artemis in a 2nd-century AD inscription discovered in Epidaurus. [4]
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