Healthcare IT News: Healthcare Payer - Payer Administrative

A healthcare payer represents a health maintenance organization, insurance company, management services organization, or any other entity that pays for an administered health service. An insurance company is the most common example of a payer. Payers are responsible for processing your different healthcare requirements, such as patient eligibility, enrollment, claims, and payment. Payers can be either private (insurance companies), or they can be public such as federal or state governments. Improving payer solutions with an explicit focus on creating value is critical for driving sustainable growth.

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