When you talk about a private health insurance exchange, generally people think of the marketplace. But, very few realize the back end processes and activities that go on in the back end. These tasks include processing of enrollment files, billing data management, and maintenance of member files, data rating, and managing plan data. The process of data integration entails compliance with the basic EDI standards and HIPAA provisions. The data ne [...]
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United States Department of Health and Human Services has not yet given any exact figures relating to the number of enrollments that are done “on-exchange” and “off-exchange”. They have yet not made any estimation for the people signing up for the marketplace or federal exchange.Although, the exact figures are still a surprise to all Americans, those will interpret the fate of Obamacare and will prove if Obama Administration is able to [...]
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