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by health care providers on prescriptions (however, the NPI will not replace requirements for the DEA number or state license number); by health plans in their internal provider files to process transactions and communicate with health care providers; by health plans to coordinate benefits with other health plans;
A provider edge router (PE router) is a router between one network service provider's area and areas administered by other network providers. [1] A network provider is usually an Internet service provider as well (or only that). The term PE router covers equipment capable of a broad range of routing protocols, notably:
The Federally Facilitated Marketplace (FFM) is an organized marketplace for health insurance plans operated by the U.S. Department of Health and Human Services (HHS). The FFM opened for enrollments starting October 1, 2013. [1]
WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
The PE router may be configured to associate all routes leading to the same CE router with the same route distinguisher, or it may be configured to associate different routes with different route distinguishers, even if they lead to the same CE router. The route distinguisher has only one purpose: to make IPv4 prefixes globally unique.
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The Knox-Keene Health Care Service Plan Act of 1975 is a set of Californian laws that regulate Healthcare Service Plans. Under these laws, pharmacy benefit managers with contracts to Health care service plans are required by law to be registered with the Department of Managed Health Care to disclose information. [58] SB 966: Pharmacy benefits