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A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]
Enhanced Direct Enrollment (EDE) is a provision in the United States that allows certain private entities, including insurance carriers and web-brokers, to directly enroll consumers in Qualified Health Plans through the Health Insurance Marketplace without redirecting consumers to Healthcare.gov. Approved EDE partners may access a suite of APIs which allow them to directly submit and update ...
CMIS defines a domain model plus bindings that can be used by applications to manipulate content stored in a repository. CMIS provides a common data model covering typed files and folders with generic properties that can be set or read. There is a set of services for adding and retrieving documents ('objects').
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A web content management system (WCM or WCMS) is a software content management system (CMS) specifically for web content. [1] It provides website authoring, collaboration, and administration tools that help users with little knowledge of web programming languages or markup languages create and manage website content. A WCMS provides the ...
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