The Health Policy Exchange

SEPTEMBER 2, 2020

This electronic tool uses artificial intelligence to sift through patients' demographics, claims, and other data to produce a list of those with the greatest likelihood of an emergency department visit or hospitalization, theoretically allowing primary care physicians to intervene to prevent the event and its associated medical expenses.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

Physicians Alliance of Connecticut

JUNE 2, 2025

Medical biller: Medical billers are responsible for submitting claims to patients’ insurance providers, and following up to ensure the practice receives payment. Authorization specialist: Authorization specialists are responsible for getting pre-authorizations from patients’ insurance providers to ensure upcoming services are covered.

Healthcare 52

Healthcare Nurse Practitioner Primary Care Physician Primary Care 52

Noreta Family Medicine

JUNE 25, 2024

A few weeks later, I received a letter in the mail from the patient’s insurance company saying that their records indicated that the patient was not taking one of the diabetes medicines in that class, and that they recommended that I prescribe one of those medicines. Insurance companies tend to lag behind current medical research.

Healthcare 52

Healthcare Insurance Primary Care Board-Certified 52