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A Health Reimbursement Arrangement, also known as a Health Reimbursement Account (HRA), [1] is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums.
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
Record Management Services (RMS) are procedures in the VMS, RSTS/E, RT-11 and RSX-11M operating systems that programs may call to process files and records within files. [1] [2] Its file formats and procedures are similar to of those in some IBM access methods [a] for several of its mainframe computer operating systems [b] and by other vendors for file and record management.
In 2012 Express Scripts acquired rival Medco Health Solutions for $29.1 billion and became "a powerhouse in managing prescription drug benefits". [42] As of 2015, Express Scripts Holding Company was the largest pharmacy benefit management organization in the United States.
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
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 ...
A 2019 Commonwealth Fund report identified 28 U.S. states as having at least some consumer protections relating to balance billing." [17] This was an increase from 2017–2018, when a total of 25 states had at least some protections against surprise billing. [14]
Since Azure RMS is not a non-repudiation solution and, unlike document signing solutions, does not claim to provide anti-tampering capabilities, and since the changes can only be made by users that are granted rights to the document, Microsoft does not consider the later issue to be an actual attack against the claimed capabilities of RMS. [7]