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CareFirst BlueCross BlueShield is a health insurance provider serving 3.5 million individuals and groups in Maryland and the Washington metropolitan area.It has dual headquarters in Baltimore, Maryland and Washington, D.C. [2] [3] It is a nonprofit organization and an independent licensee of the Blue Cross Blue Shield Association.
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. [5]
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.
About 30 Presbyterian providers are testing out Nuance's Dragon Ambient eXperience tool, similar to the program in use at Christus St. Vincent. Mitchell said the feedback so far is overwhelmingly ...
The Central Authentication Service (CAS) is a single sign-on protocol for the web. [1] Its purpose is to permit a user to access multiple applications while providing their credentials (such as user ID and password) only once.
The service provider, wishing to know the identity of the user, issues an authentication request to a SAML identity provider through the user agent. The identity provider is the one that provides the user credentials. The service provider trusts the user information from the identity provider to provide access to its services or resources.
*.login.conf: specifies how to plug vendor-supplied login modules into particular applications *.policy: specifies which identities (users or programs) are granted which permissions; For example, an application may have this login.conf file indicating how different authentication mechanisms are to be run to authenticate the user:
Security Assertion Markup Language 2.0 (SAML 2.0) is a version of the SAML standard for exchanging authentication and authorization identities between security domains.SAML 2.0 is an XML-based protocol that uses security tokens containing assertions to pass information about a principal (usually an end user) between a SAML authority, named an Identity Provider, and a SAML consumer, named a ...