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  2. EmblemHealth - Wikipedia

    en.wikipedia.org/wiki/EmblemHealth

    EmblemHealth is one of the United States' largest nonprofit health plans. Headquartered at 55 Water Street in Lower Manhattan , New York City , [ 1 ] it is a multi-billion-dollar organization with over 3 million members.

  3. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Denied Claims. These claims are properly filed but do not meet the payor’s criteria for payment. Common reasons include billing for services not covered by the plan, highlighting the importance of verifying insurance coverage during patient registration. Denied claims require investigation to identify the issue and prevent future occurrences.

  4. Dental service organizations - Wikipedia

    en.wikipedia.org/wiki/Dental_service_organizations

    Several state dental associations have attempted to introduce legislation to restrict DSOs from competing within their state. [16] [17] Associations claim that the DSO may exert pressure on dentists to do more work than what is needed, [18] despite studies that show DSO-affiliated dentists actually do less work than the average dentist.

  5. Cigna - Wikipedia

    en.wikipedia.org/wiki/Cigna

    The Cigna Group is an American multinational for-profit managed healthcare and insurance company based in Bloomfield, Connecticut. [2] [3] Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g., governmental and non-governmental ...

  6. California Department of Health Care Services - Wikipedia

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

    With 13 million children and adults enrolled, Denti-Cal is the largest state-sponsored dental insurance program; Private contractor that administers Denti-Cal is Delta Dental. In 2016, the State of California awarded Delta Dental a new contract to provide administrative services for the Denti-Cal program, continuing the 42-year relationship [7]

  7. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. [7]

  8. Aetna - Wikipedia

    en.wikipedia.org/wiki/Aetna

    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.

  9. CVS Health - Wikipedia

    en.wikipedia.org/wiki/CVS_Health

    Aetna Inc. 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.