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  2. Texas Health and Human Services Commission - Wikipedia

    en.wikipedia.org/wiki/Texas_Health_and_Human...

    The Texas Health and Human Services Commission (HHSC) is an agency within the Texas Health and Human Services System. It was established by House Bill 2292 in 2003 during the 78th Legislature, [ 1 ] which consolidated twelve different healthcare agencies into five entities under the oversight of HHSC.

  3. Chargemaster - Wikipedia

    en.wikipedia.org/wiki/Chargemaster

    In the United States, the chargemaster, also known as charge master, or charge description master (CDM), is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider. In practice, it usually contains highly inflated prices at several times that of actual costs to the hospital.

  4. Curative (company) - Wikipedia

    en.wikipedia.org/wiki/Curative_(company)

    The PPO-network health insurance plan launched in late September 2022 out of Austin, Texas, with plans to expand across other areas of the state in 2023. As of 31 December 2022, Curative has shut down its COVID-19 services business. In 2023, the company fully shifted its operations to its health insurance business.

  5. Fast Healthcare Interoperability Resources - Wikipedia

    en.wikipedia.org/wiki/Fast_Healthcare...

    One of its goals is to facilitate interoperability between legacy health care systems, to make it easy to provide health care information to health care providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be ...

  6. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    In order to be clear on the payment of a medical billing claim, the health care provider or medical biller must have complete knowledge of different insurance plans that insurance companies are offering, and the laws and regulations that preside over them. Large insurance companies can have up to 15 different plans contracted with one provider.

  7. Medco Health Solutions - Wikipedia

    en.wikipedia.org/wiki/Medco_Health_Solutions

    Medco Health Solutions, Inc. was an American Pharmacy Benefits Management (PBM) company. Medco provided pharmacy services to private and public employers, health plans, labor unions, government agencies, and individuals served by Medicare Part D Prescription Drug Plans.

  8. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    by health care providers on prescriptions (however, the NPI will not replace requirements for the DEA number or state license number); by health plans in their internal provider files to process transactions and communicate with health care providers; by health plans to coordinate benefits with other health plans;

  9. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    If the service was covered by the policy, the insurance company was responsible for reimbursing or indemnifying the patient based on the provisions of the insurance contract ("reimbursement benefits"). Health insurance plans that are not based on a network of contracted providers, or that base payments on a percentage of provider charges, are ...

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