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  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Denied Claims. These claims are properly filed but do not meet the payor’s criteria for payment. Common reasons include billing for services not covered by the plan, highlighting the importance of verifying insurance coverage during patient registration. Denied claims require investigation to identify the issue and prevent future occurrences.

  3. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    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 ...

  4. Humana Named Top Payer in athenahealth PayerView Rankings - AOL

    www.aol.com/news/2013-06-26-humana-named-top...

    Humana Named Top Payer in athenahealth PayerView Rankings Number one ranking highlights Humana's continuing success in providing industry-leading service to healthcare providers LOUISVILLE, Ky ...

  5. State retirees caught in middle of contract dispute between ...

    www.aol.com/state-retirees-caught-middle...

    A spokesperson for the health system said “good faith” negotiations have failed due to Humana’s high rate of health claim denials and refusal to set up systems that allow providers to ...

  6. DEA number - Wikipedia

    en.wikipedia.org/wiki/DEA_number

    A DEA number (DEA Registration Number) is an identifier assigned to a health care provider (such as a physician, physician assistant, nurse practitioner, optometrist, podiatrist, dentist, or veterinarian) by the United States Drug Enforcement Administration allowing them to write prescriptions for controlled substances.

  7. Whistleblower Lawsuit Against Humana: Settles Medicare ... - AOL

    www.aol.com/whistleblower-lawsuit-against-humana...

    Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...

  8. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    In the United States, health insurance providers often hire an outside company to handle price negotiations, insurance claims, and distribution of prescription drugs. Providers which use such pharmacy benefit managers include commercial health plans , self-insured employer plans, Medicare Part D plans , the Federal Employees Health Benefits ...

  9. Phil Collins reveals health issue, 'shock' of being unable to ...

    www.aol.com/phil-collins-reveals-health-issue...

    For Phil Collins, decades of rock stardom have not come without a cost.. In "Phil Collins: Drummer First," a new documentary released Wednesday, the musician opened up about the health toll of ...