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A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [ 2 ] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [ 4 ]
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.
Manipal Cigna Health Insurance Company Limited: Private Mumbai: 2014 7 Navi General Insurance Limited: Private Bengaluru: 2016 8 Go Digit Insurance: Private Pune: 2017 9 Zuno General Insurance: Private Mumbai: 2017 10 Export Credit Guarantee Corporation of India: Govt. Mumbai: 1957 11 Future Generali India Insurance: Private Mumbai: 2007 12
submit health claims52 No information found No information found No information found No information found Information Technology (IT) ! Facilitate transition to secure electronic medical records53! Create a uniform, efficient system to submit health claims54! Use IT for clinical information tools, disease monitoring, care management, and to reduce
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