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PacifiCare

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PacifiCare Health Systems serves more than 3 million health plan members and approximately 10 million specialties plan members nationwide with annual revenues of more than $12 billion. PacifiCare is celebrating its 25th anniversary as one of the nation's largest consumer health organizations, offering individuals, employers and Medicare beneficiaries a variety of consumer driven health care and insurance products.

The Company specialty operations include behavioral health, dental and vision, life insurance, and complete pharmacy and medical management through its wholly owned subsidiary, Prescription Solutions. PacifiCare Health Systems is one of the nation's largest consumer health organizations with more than 3 million health plan members and approximately 9 million specialty plan members nationwide.

PacifiCare offers individuals, employers and Medicare beneficiaries a variety of consumer driven health care and life insurance products. Currently, the National Committee for Quality Assurance enrolls more than 99 percent of PacifiCare’s commercial health plan members in plans that have received Excellent Accreditation.

PacifiCare's specialty operations include behavioral health, dental and vision, and complete pharmacy and medical management through its wholly owned subsidiary, Prescription Solutions. Check Eligibility allows Healthcare Providers Physicians, Allied Health Professionals, Medical Groups, IPAs, Hospitals and Ancillary Providers to get up to date eligibility information about PacifiCare members seeking care at their office or facility.

PacifiCare is always looking for ways to improve communication and collaboration with their contracting participating provider network. To that end, PacifiCare offers a no cost application that allows for online submission of prior authorization requests, referral authorization information and inpatient admission notification using the Internet. Exchange simplifies information submission and overall office efficiency.

The CMS Dx Code Check is a new portal functionality which will be available starting January 1, 2006. The CMS Dx Code Check will provide an opportunity to correct and or submit additional ICD 9 CMS codes for previously submitted encounters for Secure Horizons members identified by PacifiCare as having specific health status profile.And Capitation Reports, Check Claim Status and Specialty Referral Applies to California Only.

The Company mission is to create long term shareholder value as a leading consumer health organization committed to making people's lives healthier and more secure. To find out more about PacifiCare, such as their leadership and their vision and values, look to the links the top. They pride their selves on being there for customers when they need them and having the know how to simplify all financial and insurance issues and procedures.       

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