Standards & Measures at a Glance

Claims Processing



Clinical Integration

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Comprehensive Wellness



Consumer Education and Support



Credentials Verification Organization

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Dental Plan with Health Insurance Marketplace

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Health Call Center

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Health Content Provider

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Health Plan with Health Insurance Marketplaces

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Health Utilization Management

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HIPAA Privacy and Security



Independent Review Organization

Comprehensive Independent Review Organization
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External Independent Review Organization
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Internal Independent Review Organization
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Medicare Advantage

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Patient Centered Medical Home

PCMH Standards
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PCMH Elements of Performance
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Provider Credentialing



Telehealth

Telehealth Standards
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Telehealth Elements of Performance
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Transitions of Care Designation



Workers Compensation Property and Casualty Pharmacy Benefit Management

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Workers Compensation Utilization Management

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