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2. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   Medical billing is a payment practice within the United States healthcare system. The process involves the systematic submission and processing of healthcare claims for reimbursement. Once the services are provided, the healthcare provider creates a detailed record of the patient's visit, including the diagnoses, procedures performed, and any ...

3. Pharmacy benefit management - Wikipedia

   en.wikipedia.org/wiki/Pharmacy_benefit_management

   Pharmacy benefit management. In the United States, a pharmacy benefit manager ( PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.

4. Third-party administrator - Wikipedia

   en.wikipedia.org/wiki/Third-party_administrator

   Third-party administrator. In the United States, a third-party administrator ( TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and ...

5. Insurance - Wikipedia

   en.wikipedia.org/wiki/Insurance

   Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to protect against the risk of a contingent or uncertain loss. An entity which provides insurance is known as an ...

6. Biz Brief: AMA Says 20% of Medical Insurance Claims Are ...

   www.aol.com/news/2010-06-15-biz-brief-ama...

   One in five medical claims is processed inaccurately by health insurers, the American Medical Association said on Monday. Without these errors, the health care system, which spends as much as $210 ...

7. US insurers to expedite payments to healthcare providers ...

   www.aol.com/news/us-insurers-expedite-payments...

   Change Healthcare, which was hit by a cyberattack on Feb. 21, processes about 50% of medical insurance claims in the United States, working with 900,000 physicians, 33,000 pharmacies, 5,500 ...