Claims payment issues: an HMO perspective.
One of the primary objectives of a complete healthcare delivery system is to provide appropriate and timely payment to providers. One major health maintenance organization (HMO) meets that objective by refining database management, fee uniformity, and electronic claims submission.
Kulich
R
R
Health Alliance Plan, Detroit, MI.
Parker
F
F
Robinson
E
E
D006279:Health Maintenance Organizations / Q000191:economics* / Q000458:organization & administration; D007344:Insurance Claim Reporting; D008824:Michigan; D012051:Reimbursement Mechanisms