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  2. Aetna - Wikipedia

    en.wikipedia.org/wiki/Aetna

    Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.

  4. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    In 2007, 87% of Californians had some form of health insurance. [47] Services in California range from private offerings: HMOs, PPOs to public programs: Medi-Cal, Medicare, and Healthy Families . Insurers can pay providers a capitation only in the case of HMOs. [48]

  5. CVS Health - Wikipedia

    en.wikipedia.org/wiki/CVS_Health

    Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.

  6. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    In the 21st century, commercial payers were increasingly using litigation against providers to combat alleged fraud or abuse. [25] Examples included litigation between Aetna and a group of surgical centers over an out-of-network overbilling scheme and kickbacks for referrals, where Aetna was ultimately awarded $37 million. [25]

  7. Innovative Aetna ValuePass Card Provides Consumers a Whole ...

    www.aol.com/news/2012-10-18-innovative-aetna...

    Innovative Aetna ValuePass Card Provides Consumers a Whole New Way to Access Dental Care Aetna ValuePass SM Offers 15%-50% in Dental Savings Allows consumers to access dental care on a "pay as you ...

  8. Attending physician statement - Wikipedia

    en.wikipedia.org/wiki/Attending_physician_statement

    An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. [1] ...

  9. Health insurance - Wikipedia

    en.wikipedia.org/wiki/Health_insurance

    A health insurance policy is a insurance contract between an insurance provider (e.g. an insurance company or a government) and an individual or his/her sponsor (that is an employer or a community organization).

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