buisnesswoman-arms-crossed-healthcare-industry-dictionary buisnesswoman-arms-crossed-healthcare-industry-dictionary

What is a payer?

What is a payer?

The definition of a payer or payor is an organization, entity, or person, that sets service rates, collects payments, process claims, and pays provider claims in healthcare.

What does payer mean?

The payer meaning for a healthcare payer is the organization, entity or person that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes claims for service and pays provider claims using collected premium.

What’s the difference between payer v. payor?

Payor is used interchangeably with “payer”. This is the person making the payment, satisfying the claim, and/or settling any financial obligation.

What is a payor benefit rider?

In healthcare, a payor benefit rider may be added to the policy of a juvenile stating that if the payor (the one paying the premium) dies or becomes totally disabled prior to the juvenile’s reaching maturity, the premiums due are automatically waived.

What is a single payer in healthcare?

A single payer in healthcare is one who collects funds and pays for healthcare on behalf on an entire population. Increased flexibility for state healthcare reform can provide opportunities for state-based single-payer systems to be considered.

What is a payer matrix?

A healthcare payer matrix is a team of dedicated healthcare professionals who partner with your employer to reduce the cost of your high dollar prescription drugs. Payers in healthcare work directly with you to obtain alternative funding though the manufacturer, foundations, and grants.

What are payer solutions in healthcare?

MMIT payer solutions help health plans and pharmacy benefit managers establish reimbursement policies and formulary positioning that make therapies affordable for patients.

The right insights can help you drive access for your brand

Look through our white papers, case studies and other resources to find out how our research drives innovation and results.