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  2. Health insurance marketplace - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_marketplace

    Health exchanges first emerged in the private sector in the early 1980s, and they used computer networking to integrate claims management, eligibility verification, and inter-carrier payments. These became popular in some regions as a way for small and medium-sized businesses to pool their purchasing power into larger groups, reducing cost.

  3. 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 ...

  4. Federal Data Services Hub - Wikipedia

    en.wikipedia.org/wiki/Federal_Data_Services_Hub

    Origins. It is built by the Internal Revenue Service (IRS) and Health and Human Services (HHS). It combines data on income and employment from IRS records, health and entitlements from HHS records, identity from Social Security, citizenship from Department of Homeland Security records, criminality from Department of Justice records, and residency from state records.

  5. Who is eligible for Medicare? Experts explain the rules ... - AOL

    www.aol.com/finance/eligible-medicare-experts...

    The federal health insurance for people 65 and older, ... Medicare beneficiaries must meet eligibility criteria based on both financial and non-financial requirements and varies by state.

  6. Health Insurance Portability and Accountability Act - Wikipedia

    en.wikipedia.org/wiki/Health_Insurance...

    The Health Insurance Portability and Accountability Act of 1996 ( HIPAA or the Kennedy – Kassebaum Act [1] [2]) is a United States Act of Congress enacted by the 104th United States Congress and signed into law by President Bill Clinton on August 21, 1996. [3] It aimed to alter the transfer of healthcare information, stipulated the guidelines ...

  7. Medi-Cal Access Program - Wikipedia

    en.wikipedia.org/wiki/Medi-Cal_Access_Program

    Medi-Cal Access Program. The Medi-Cal Access Program ( MCAP ), formerly known as the Access for Infants and Mothers Program ( AIM ), is a California policy that grants access to Medi-Cal to pregnant and uninsured (or whose coverage contains a co-pay over $500) mothers who would otherwise not qualify due to exceeding income guidelines.

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