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  2. Third-party administrator - Wikipedia

    en.wikipedia.org/wiki/Third-party_administrator

    In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.

  3. Agency for Health Care Administration - Wikipedia

    en.wikipedia.org/wiki/Agency_for_Health_Care...

    The Florida Agency for Health Care Administration (AHCA) is the chief health policy and planning entity for the U.S. state of Florida. The agency was created by the Florida Legislature as part of the Health Care Reform Act of 1992. [ 1 ]

  4. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  5. Florida's Medicaid call center's wait times, disconnection ...

    www.aol.com/news/floridas-medicaid-call-centers...

    The report found that 8 in 10 calls to Florida's Medicaid call center were automatically disconnected from the phone system. When people managed to get through, there were long delays to reach ...

  6. Self-funded health care - Wikipedia

    en.wikipedia.org/wiki/Self-funded_health_care

    While the employer's chosen TPA pays or denies claims when the SPD is clear on how a given claim should be treated, dubious claims are referred to the Plan Administrator for a final decision, because most ASAs [expand acronym] specify that the TPA is not permitted to make claims determinations (which protects the TPA and Plan Administrator alike).

  7. List of Florida companies - Wikipedia

    en.wikipedia.org/wiki/List_of_Florida_companies

    List of Florida companies includes notable companies that are, or once were, headquartered in Florida. This is a dynamic list and may never be able to satisfy particular standards for completeness. You can help by adding missing items with reliable sources .

  8. UnitedHealth Group - Wikipedia

    en.wikipedia.org/wiki/UnitedHealth_Group

    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] It became a publicly traded company in 1984 and changed its name to UnitedHealth Group in 1998. [7]

  9. Medicaid - Wikipedia

    en.wikipedia.org/wiki/Medicaid

    In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...