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A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
Case mix group; Case mix index; Centene Corporation; Center for Medicare and Medicaid Innovation; Centers for Medicare & Medicaid Services; Certificate of medical necessity; Certified Community Behavioral Health Clinic; Children's Health Insurance Program; Citizens' Health Care Working Group; Clinical Laboratory Improvement Amendments
With a PPO plan, you can see either in-network or out-of-network providers. However, out-of-network providers will typically have a higher copay. Wellcare by Allwell HMO plans. Wellcare by Allwell ...
A WellCare bus in Astoria, Queens, New York City. WellCare began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. [5] In 1992, Kiran Patel, a cardiologist and entrepreneur, purchased the company. [6] [7] In 2002, Patel sold it to a New York investment group led by George Soros and Todd Farha. [7]
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
Among the physician practices, 16.5% had only one office-based physician in 2016. [3] Physician group practices with 2-4 physicians make up 22.3% of physician offices in the United States, 19.8% have 5-10 physicians, 12.1% have 11-24 physicians, 6.3% have 25–49, and the remaining 13.5% have 50 or more physicians.
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UnitedHealth Group originated in late 1974, when Minnesota-based Charter Med Incorporated was founded by Richard Taylor Burke. It originally processed claims for doctors at the Hennepin County Medical Society. [5] UnitedHealthcare Corporation was founded in 1977 to purchase Charter Med and create a network-based health plan for seniors. [6]