SlideShare a Scribd company logo
1 of 1
Joins Employer Get Enrolled Visits Prescribes Goes to pharmacy Captures and  Sends info Switching Company Routes  PBM Pharmacy Prescriber Participant Provider Response Receives info Dispenses Issues card Gives Sends Invoice Receives payment All images are for illustration purposes only.

More Related Content

What's hot

Dubai health insurance adjudication manual v1.0 final
Dubai health insurance adjudication manual v1.0 finalDubai health insurance adjudication manual v1.0 final
Dubai health insurance adjudication manual v1.0 finaldrrskhan
 
Medical billing procedures manual
Medical billing procedures manualMedical billing procedures manual
Medical billing procedures manualKuldeep Rawat
 
medical billing training notes
medical billing training notesmedical billing training notes
medical billing training noteswaqas gogan
 
Revenue cycle rcm
Revenue cycle   rcmRevenue cycle   rcm
Revenue cycle rcmCognizant
 
The medical billing process
The medical billing processThe medical billing process
The medical billing processRahul Akula
 
Revenue Cycle Management
Revenue Cycle ManagementRevenue Cycle Management
Revenue Cycle ManagementBen Quirk
 
Medical Billing 1
Medical Billing 1Medical Billing 1
Medical Billing 1Karna *
 
How to be a credit card processing ninja
How to be a credit card processing ninjaHow to be a credit card processing ninja
How to be a credit card processing ninjaSheel Mohnot
 
Denial Management - Medical billing
Denial Management - Medical billingDenial Management - Medical billing
Denial Management - Medical billingLeanmedicalbilling
 
IT NETWORK COMPANY PROFILE
IT NETWORK COMPANY PROFILEIT NETWORK COMPANY PROFILE
IT NETWORK COMPANY PROFILEYawar Hassan
 
AR Followup Tips
AR Followup TipsAR Followup Tips
AR Followup TipsKarna *
 
Medicare Part A
Medicare Part AMedicare Part A
Medicare Part Anaylor007
 
Medical Billing
Medical BillingMedical Billing
Medical BillingKarna *
 

What's hot (20)

Dubai health insurance adjudication manual v1.0 final
Dubai health insurance adjudication manual v1.0 finalDubai health insurance adjudication manual v1.0 final
Dubai health insurance adjudication manual v1.0 final
 
Medical Billing 101
Medical Billing 101Medical Billing 101
Medical Billing 101
 
Medical billing procedures manual
Medical billing procedures manualMedical billing procedures manual
Medical billing procedures manual
 
medical billing training notes
medical billing training notesmedical billing training notes
medical billing training notes
 
Revenue cycle rcm
Revenue cycle   rcmRevenue cycle   rcm
Revenue cycle rcm
 
The medical billing process
The medical billing processThe medical billing process
The medical billing process
 
Revenue Cycle Management
Revenue Cycle ManagementRevenue Cycle Management
Revenue Cycle Management
 
Medical Billing 1
Medical Billing 1Medical Billing 1
Medical Billing 1
 
How to be a credit card processing ninja
How to be a credit card processing ninjaHow to be a credit card processing ninja
How to be a credit card processing ninja
 
Denial Management - Medical billing
Denial Management - Medical billingDenial Management - Medical billing
Denial Management - Medical billing
 
IT NETWORK COMPANY PROFILE
IT NETWORK COMPANY PROFILEIT NETWORK COMPANY PROFILE
IT NETWORK COMPANY PROFILE
 
Payroll management system
Payroll management systemPayroll management system
Payroll management system
 
AR Followup Tips
AR Followup TipsAR Followup Tips
AR Followup Tips
 
iExpenses Setup
iExpenses SetupiExpenses Setup
iExpenses Setup
 
Medical Billing Services in California
Medical Billing Services in CaliforniaMedical Billing Services in California
Medical Billing Services in California
 
Chapter 4
Chapter 4Chapter 4
Chapter 4
 
PPT Presentation for Medical Billing Services
PPT Presentation for Medical Billing ServicesPPT Presentation for Medical Billing Services
PPT Presentation for Medical Billing Services
 
Oracle AP Cycle
Oracle AP CycleOracle AP Cycle
Oracle AP Cycle
 
Medicare Part A
Medicare Part AMedicare Part A
Medicare Part A
 
Medical Billing
Medical BillingMedical Billing
Medical Billing
 

Viewers also liked

ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4Sheretta Moore MBA
 
Top 10 claims assistant interview questions and answers
Top 10 claims assistant interview questions and answersTop 10 claims assistant interview questions and answers
Top 10 claims assistant interview questions and answersjomdari
 
GoTelecare Franchise ebook
GoTelecare Franchise ebookGoTelecare Franchise ebook
GoTelecare Franchise ebookMichael Smith
 
Talisman Medical Billing Services
Talisman Medical Billing ServicesTalisman Medical Billing Services
Talisman Medical Billing ServicesTalisman Solutions
 
Property Insurance & the Players
Property Insurance & the PlayersProperty Insurance & the Players
Property Insurance & the PlayersRon Wilkes
 
Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...
Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...
Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...taxman taxman
 
Property and Casualty Insurance
Property and Casualty InsuranceProperty and Casualty Insurance
Property and Casualty Insurancehlazarus
 
Introduction to Revenue Cycle Management
Introduction to Revenue Cycle ManagementIntroduction to Revenue Cycle Management
Introduction to Revenue Cycle ManagementMynor Veliz, MBA
 
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...An Overview of Kaiser Permanente - Integration and Information Systems in Hea...
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...Empreender Saúde
 
Ama flow that claim submission processing adjudication and payment
Ama flow that claim submission processing adjudication and paymentAma flow that claim submission processing adjudication and payment
Ama flow that claim submission processing adjudication and paymentRajinikanth Dhakshanamurthi
 
Customer Lifecycle Engagement for Insurance Companies
Customer Lifecycle Engagement for Insurance CompaniesCustomer Lifecycle Engagement for Insurance Companies
Customer Lifecycle Engagement for Insurance Companiesedynamic
 
Medical Billing AR Manual
Medical Billing AR ManualMedical Billing AR Manual
Medical Billing AR ManualJvs Prasad
 
Five Ways For Improving Hospital Revenue Cycle Management
Five Ways For Improving Hospital Revenue Cycle ManagementFive Ways For Improving Hospital Revenue Cycle Management
Five Ways For Improving Hospital Revenue Cycle ManagementHealth Catalyst
 
US health care system overview 1
US health care system  overview 1US health care system  overview 1
US health care system overview 1nithinmohantk
 
23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...
23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...
23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...David Nihill
 
Revenue cycle management presentation
Revenue cycle management presentationRevenue cycle management presentation
Revenue cycle management presentationfernan716
 

Viewers also liked (20)

Types of health insurance policies
Types of health insurance policiesTypes of health insurance policies
Types of health insurance policies
 
Medicare claims processing manual
Medicare claims processing manualMedicare claims processing manual
Medicare claims processing manual
 
ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4ALH 151 Health Insurance Chap 1-5 4
ALH 151 Health Insurance Chap 1-5 4
 
Top 10 claims assistant interview questions and answers
Top 10 claims assistant interview questions and answersTop 10 claims assistant interview questions and answers
Top 10 claims assistant interview questions and answers
 
GoTelecare Franchise ebook
GoTelecare Franchise ebookGoTelecare Franchise ebook
GoTelecare Franchise ebook
 
Talisman Medical Billing Services
Talisman Medical Billing ServicesTalisman Medical Billing Services
Talisman Medical Billing Services
 
Kaiser Permanente HealthConnect - EHR and SNOMED
Kaiser Permanente HealthConnect - EHR and SNOMEDKaiser Permanente HealthConnect - EHR and SNOMED
Kaiser Permanente HealthConnect - EHR and SNOMED
 
Property Insurance & the Players
Property Insurance & the PlayersProperty Insurance & the Players
Property Insurance & the Players
 
Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...
Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...
Inst 1120-PC (Schedule M-3)-Instructions for Schedule M-3 (Form 1120-PC), Net...
 
Property and Casualty Insurance
Property and Casualty InsuranceProperty and Casualty Insurance
Property and Casualty Insurance
 
Introduction to Revenue Cycle Management
Introduction to Revenue Cycle ManagementIntroduction to Revenue Cycle Management
Introduction to Revenue Cycle Management
 
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...An Overview of Kaiser Permanente - Integration and Information Systems in Hea...
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...
 
Ama flow that claim submission processing adjudication and payment
Ama flow that claim submission processing adjudication and paymentAma flow that claim submission processing adjudication and payment
Ama flow that claim submission processing adjudication and payment
 
Customer Lifecycle Engagement for Insurance Companies
Customer Lifecycle Engagement for Insurance CompaniesCustomer Lifecycle Engagement for Insurance Companies
Customer Lifecycle Engagement for Insurance Companies
 
Medical Billing AR Manual
Medical Billing AR ManualMedical Billing AR Manual
Medical Billing AR Manual
 
Five Ways For Improving Hospital Revenue Cycle Management
Five Ways For Improving Hospital Revenue Cycle ManagementFive Ways For Improving Hospital Revenue Cycle Management
Five Ways For Improving Hospital Revenue Cycle Management
 
Claim ppt
Claim pptClaim ppt
Claim ppt
 
US health care system overview 1
US health care system  overview 1US health care system  overview 1
US health care system overview 1
 
23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...
23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...
23 Tips From Comedians to Be Funnier in Your Next Presentation (via the book ...
 
Revenue cycle management presentation
Revenue cycle management presentationRevenue cycle management presentation
Revenue cycle management presentation
 

More from nitinsaini12

Certificate in Business Consulting
Certificate in Business ConsultingCertificate in Business Consulting
Certificate in Business Consultingnitinsaini12
 
Certificate in Shipping
Certificate in ShippingCertificate in Shipping
Certificate in Shippingnitinsaini12
 
Certificate in Retail Management
Certificate in Retail ManagementCertificate in Retail Management
Certificate in Retail Managementnitinsaini12
 
Certificate in Mobility
Certificate in MobilityCertificate in Mobility
Certificate in Mobilitynitinsaini12
 
Certificate in M-commerce
Certificate in M-commerceCertificate in M-commerce
Certificate in M-commercenitinsaini12
 
Certificate in Life Sciences
Certificate in Life SciencesCertificate in Life Sciences
Certificate in Life Sciencesnitinsaini12
 
Certificate in Energy
Certificate in EnergyCertificate in Energy
Certificate in Energynitinsaini12
 
Certificate in E-commerce
Certificate in E-commerceCertificate in E-commerce
Certificate in E-commercenitinsaini12
 
Certificate in Digital Business Trends
Certificate in Digital Business TrendsCertificate in Digital Business Trends
Certificate in Digital Business Trendsnitinsaini12
 
Certificate in Airlines Industry
Certificate in Airlines IndustryCertificate in Airlines Industry
Certificate in Airlines Industrynitinsaini12
 

More from nitinsaini12 (10)

Certificate in Business Consulting
Certificate in Business ConsultingCertificate in Business Consulting
Certificate in Business Consulting
 
Certificate in Shipping
Certificate in ShippingCertificate in Shipping
Certificate in Shipping
 
Certificate in Retail Management
Certificate in Retail ManagementCertificate in Retail Management
Certificate in Retail Management
 
Certificate in Mobility
Certificate in MobilityCertificate in Mobility
Certificate in Mobility
 
Certificate in M-commerce
Certificate in M-commerceCertificate in M-commerce
Certificate in M-commerce
 
Certificate in Life Sciences
Certificate in Life SciencesCertificate in Life Sciences
Certificate in Life Sciences
 
Certificate in Energy
Certificate in EnergyCertificate in Energy
Certificate in Energy
 
Certificate in E-commerce
Certificate in E-commerceCertificate in E-commerce
Certificate in E-commerce
 
Certificate in Digital Business Trends
Certificate in Digital Business TrendsCertificate in Digital Business Trends
Certificate in Digital Business Trends
 
Certificate in Airlines Industry
Certificate in Airlines IndustryCertificate in Airlines Industry
Certificate in Airlines Industry
 

Recently uploaded

Hierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of managementHierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of managementmkooblal
 
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...Marc Dusseiller Dusjagr
 
Capitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptxCapitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptxCapitolTechU
 
Types of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptxTypes of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptxEyham Joco
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxGaneshChakor2
 
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfEnzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfSumit Tiwari
 
Introduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher EducationIntroduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher Educationpboyjonauth
 
Solving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptxSolving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptxOH TEIK BIN
 
Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17Celine George
 
internship ppt on smartinternz platform as salesforce developer
internship ppt on smartinternz platform as salesforce developerinternship ppt on smartinternz platform as salesforce developer
internship ppt on smartinternz platform as salesforce developerunnathinaik
 
भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,Virag Sontakke
 
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdfssuser54595a
 
Painted Grey Ware.pptx, PGW Culture of India
Painted Grey Ware.pptx, PGW Culture of IndiaPainted Grey Ware.pptx, PGW Culture of India
Painted Grey Ware.pptx, PGW Culture of IndiaVirag Sontakke
 
Proudly South Africa powerpoint Thorisha.pptx
Proudly South Africa powerpoint Thorisha.pptxProudly South Africa powerpoint Thorisha.pptx
Proudly South Africa powerpoint Thorisha.pptxthorishapillay1
 
MARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized GroupMARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized GroupJonathanParaisoCruz
 
Full Stack Web Development Course for Beginners
Full Stack Web Development Course  for BeginnersFull Stack Web Development Course  for Beginners
Full Stack Web Development Course for BeginnersSabitha Banu
 
Roles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in PharmacovigilanceRoles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in PharmacovigilanceSamikshaHamane
 
EPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptxEPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptxRaymartEstabillo3
 

Recently uploaded (20)

Hierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of managementHierarchy of management that covers different levels of management
Hierarchy of management that covers different levels of management
 
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
 
Capitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptxCapitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptx
 
Types of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptxTypes of Journalistic Writing Grade 8.pptx
Types of Journalistic Writing Grade 8.pptx
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptx
 
ESSENTIAL of (CS/IT/IS) class 06 (database)
ESSENTIAL of (CS/IT/IS) class 06 (database)ESSENTIAL of (CS/IT/IS) class 06 (database)
ESSENTIAL of (CS/IT/IS) class 06 (database)
 
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfEnzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
 
Introduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher EducationIntroduction to ArtificiaI Intelligence in Higher Education
Introduction to ArtificiaI Intelligence in Higher Education
 
Solving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptxSolving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptx
 
Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17
 
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdfTataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
 
internship ppt on smartinternz platform as salesforce developer
internship ppt on smartinternz platform as salesforce developerinternship ppt on smartinternz platform as salesforce developer
internship ppt on smartinternz platform as salesforce developer
 
भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,
 
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
 
Painted Grey Ware.pptx, PGW Culture of India
Painted Grey Ware.pptx, PGW Culture of IndiaPainted Grey Ware.pptx, PGW Culture of India
Painted Grey Ware.pptx, PGW Culture of India
 
Proudly South Africa powerpoint Thorisha.pptx
Proudly South Africa powerpoint Thorisha.pptxProudly South Africa powerpoint Thorisha.pptx
Proudly South Africa powerpoint Thorisha.pptx
 
MARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized GroupMARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized Group
 
Full Stack Web Development Course for Beginners
Full Stack Web Development Course  for BeginnersFull Stack Web Development Course  for Beginners
Full Stack Web Development Course for Beginners
 
Roles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in PharmacovigilanceRoles & Responsibilities in Pharmacovigilance
Roles & Responsibilities in Pharmacovigilance
 
EPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptxEPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptx
 

Healthcare workflow management process

  • 1. Joins Employer Get Enrolled Visits Prescribes Goes to pharmacy Captures and Sends info Switching Company Routes PBM Pharmacy Prescriber Participant Provider Response Receives info Dispenses Issues card Gives Sends Invoice Receives payment All images are for illustration purposes only.