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Vague Definitions of Health Plan and Payer Create Challenges
Common misuse of the terms health plan and payer is making it difficult for the payer community to comply with the Health Plan Identifier (HPID) final rule, according to the Workgroup for Electronic Data Interchange (WEDI).
Common misuse of the terms health plan and payer is making it difficult for the payer community to comply with the Health Plan Identifier (HPID) final rule, according to the Workgroup for Electronic Data Interchange (WEDI). While the healthcare industry uses the terms interchangeably, under HPID definitions, not all payers are health plans and vice versa.
A health plan indicates an individual or group plan that provides or pays for medical care, while WEDI defines a payer as the intended entity responsible for final processing of the claim, inquiry or enrollment or premium payment. An organization currently identified as a payer will continue to do so, but an organization currently identified as a health plan and continues to do so after Nov. 7, 2016, must use an HPID.
Read the full story here: http://bit.ly/1qgCOsH
Source: Fierce Health Payer
Empowering Community Health Through Wellness and Faith
April 23rd 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In the third episode, Camille Clarke-Smith, EdD, MS, CHES, CPT, discusses approaching community health holistically through spiritual and community engagement.
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Dr Dalia Rotstein: Physicians Must Be Aware MS Affects People of All Backgrounds
April 24th 2024Dalia Rotstein, MD, MPH, emphazises the importance of awareness that multiple sclerosis (MS) impacts patients from various backgrounds as clinicians think through ways to improve access to care and research efforts in MS.
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Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
April 16th 2024To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode, in which we learn all about Freedom House 2.0 and the Pathways to Work program.
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