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An 834 file contains a string of data elements, with each representing a fact, such as a subscriber’s name, hire date, etc. The entire string is called a transaction set. The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer.
The Open Publication Distribution System (OPDS) catalog format is a syndication format for electronic publications based on Atom and HTTP. OPDS catalogs enable the aggregation, distribution, discovery, and acquisition of electronic publications. OPDS catalogs use existing or emergent open standards and conventions, with a priority on simplicity.
HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare , Medicaid , and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.
More than half (54%) of Medicare beneficiaries are enrolled in an Medicare Advantage plan, according to health policy nonprofit KFF. Medicare Advantage — which is Medicare Part C — is a viable ...
For example, United Health Care, one of the county’s largest Medicare Advantage insurers, offers the UCard, combining a member ID card, “access to the rewards, gym membership, and credits for ...
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute.. Revising the Balanced Budget Act of 1997, the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act
A private exchange is an online marketplace that allows employees or retirees to shop for a personalized benefits package from a broad selection of benefit plans, which often includes medical, vision, dental, life, and disability insurance plans, as well as other offerings including non-insurance products like prepaid legal, FSA's, identity theft protection, and so on. [2]
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