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2. Catamaran Corporation - Wikipedia

   en.wikipedia.org/wiki/Catamaran_Corporation

   Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]

3. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   Achieving a high clean claims rate is a key metric for measuring the efficiency of the billing cycle. Creation of the claim is where medical billing most directly overlaps with medical coding because billers take the ICD/CPT codes used by the medical coders and creates the claim. Step 6: Monitoring payor Adjudication [4]

4. Change Healthcare - Wikipedia

   en.wikipedia.org/wiki/Change_Healthcare

   In May 2012, the company acquired TC3 Health, a cost containment provider, including payment integrity and out-of-network claims cost management, to U.S. healthcare payers. [23] In June 2013, the company acquired Gold Health Systems, a healthcare management organization that specializes in providing pharmacy benefits and related services ...

5. Health Care Service Corporation - Wikipedia

   en.wikipedia.org/wiki/Health_Care_Service...

   It concentrates its operations in Illinois, Montana, New Mexico, Oklahoma, and Texas. HCSC is the fifth-largest health insurer in the US overall and employs more than 23,000 people. As of 2019, it was noted to be the third-largest commercial health insurer in the United States [ 1 ] It serves nearly 16 million members.

6. Perot Systems - Wikipedia

   en.wikipedia.org/wiki/Perot_Systems

   Perot Systems was especially strong in health care industries with services such as digitizing and automating medical records. [ 2 ] A Fortune 1000 corporation with offices in more than 25 countries, Perot Systems employed more than 23,000 people and had an annual revenue of $2.8 billion prior to its acquisition for $3.9 billion in 2009 by Dell ...

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8. Co-pay card - Wikipedia

   en.wikipedia.org/wiki/Co-pay_card

   The patient takes the card and prescription to a pharmacy where the pharmacist enters processing information into his/her pharmacy management system to submit a claim. If a patient has insurance, the pharmacist will key in the patient's insurance number in the primary field and an identifier from the co-pay card into the secondary insurer field.

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