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Oxford Health Plans [1] [2] is an American health care company that sells various benefit plans, primarily in New York, New Jersey and Connecticut. [3] [4]As of 2004, it is a subsidiary of UnitedHealth Group, the largest healthcare company in the world, [5] claiming to be "among the first" to allow patients to see specialists without a referral and to offer alternative medicine treatments.
In order to be clear on the payment of a medical billing claim, the health care provider or medical biller must have complete knowledge of different insurance plans that insurance companies are offering, and the laws and regulations that preside over them. Large insurance companies can have up to 15 different plans contracted with one provider.
Health care providers often receive payments for their services rendered from health insurance providers. In the United States, the Department of Health and Human Services defines a health care provider as any "person or organization who furnishes, bills, or is paid for health care in the normal course of business." [1] [2]
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 ...
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The following is a list of notable online payment service providers and payment gateway providing companies, their platform base and the countries they offer services in: (POS -- Point of Sale ) Company
In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.
The Harrow Council launched the IBM Watson Care Manager system to match individuals, considering budget, with a provider and develop individual care plans. [282] Within the US, the FDA in 2017 cleared an AI medical imaging platform for clinical use as well as future devices. [ 283 ]