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Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
Communications service providers support a broad range of services and functions with their OSS/BSS. BSS primarily consists of order capture, Customer Relationship Management and Telecommunications billing whereas OSS covers Order Management, Network Inventory Management and Network Operations.
Advocates of balance billing argue that it increases the incomes of high-quality healthcare providers and measures their dissatisfaction with insurance company fees. [2] Critics say that balance billing lets providers raise charges through stealth rather than transparent pricing, creates unnecessary administrative costs and patient confusion ...
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In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...
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However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier that might be overcome if health plans compensated specialists for the time spent handling e-referrals." [20] In Canada, the proportion of services billed under FFS from 1990 to 2010 shifted substantially. [21]
Business support systems (BSS) are the components that a telecommunications service provider (or telco) uses to run its business operations towards customers.. Together with operations support systems (OSS), they are used to support various end-to-end telecommunication services (e.g., telephone services). [1]
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