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2,700+. Website. www .wpshealth .com. Wisconsin Physicians Service Insurance Corporation (WPS Health Solutions) is a not-for-profit service insurance corporation based in Madison, Wisconsin. WPS offers health insurance plans for groups and individuals and benefit plan administration for businesses.
A National Provider Identifier ( NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
History. HealthPartners was founded in 1957 as Group Health, a consumer-governed nonprofit health plan with a board of directors made up of its own members and patients. In 1992, Group Health merged with MedCenters Health Plan, and together they formed HealthPartners. On January 1, 2013, HealthPartners merged with Park Nicollet Health Services ...
Group Health Incorporated (GHI) GHI – originally named Group Health Association of New York – was established in 1937 to provide New York's working families access to medical services. This new health care model was built around a network of participating providers and was a precursor to today's preferred provider organization (PPO).
Insurance credentialing / medical credentialing. Credentialing is the process the healthcare facility or managed care organization/health plan uses to collect and verify the “credentials” of the applicant. This includes verification of many elements including licensure, education, training, experience, competency, and judgment.
Concierge medicine. Concierge medicine, also known as retainer medicine, is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. In exchange for the retainer, doctors agree to provide enhanced care, including commitments to ensure adequate time and availability for each patient. [1]
March 22, 2024 at 6:05 PM. By Leroy Leo. (Reuters) -UnitedHealth Group said on Friday its Change Healthcare unit will start to process the medical claims backlog of more than $14 billion as it ...
A patient having his blood pressure measured. A primary care physician ( PCP) is a physician who provides both the first contact for a person with an undiagnosed health concern as well as continuing care of varied medical conditions, not limited by cause, organ system, or diagnosis. The term is primarily used in the United States.