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The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer. The format attempts to meet the health care industry's specific need for the initial enrollment and subsequent maintenance of individuals who are enrolled in insurance products.
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
Surescripts is an American information technology company based in Arlington, Virginia that supports e-prescription, the electronic transmission of prescriptions between health care organizations and pharmacies, as well as general health information exchange (HIE) of medical records.
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 ...
Single-payer healthcare is a type of universal healthcare, [1] in which the costs of essential healthcare for all residents are covered by a single public system (hence "single-payer"). [ 2 ] [ 3 ] Single-payer systems may contract for healthcare services from private organizations (as is the case in Canada ) or may own and employ healthcare ...
The hospital has 144 pediatric beds. It is affiliated with The Virginia Commonwealth University School of Medicine, [1] and is a member of VCU Health. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–17 throughout eastern Virginia.
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The DAHP had to raise funds, secure an HMO license and obtain a federal waiver allowing the company to operate solely as a mandatory enrollment plan. The DAHP would become the first mandatory Medicaid managed care program in 1989 [ 4 ] [ 6 ] In 1993 the federal waiver would expire and in order to allow the organization to continue ...