Insurance Payers

Insurance payers are organizations, such as insurance companies, government programs (like Medicare or Medicaid), or employers, that handle the financial aspect of healthcare. They are responsible for paying healthcare providers for services rendered to insured individuals, based on the terms of the policy or coverage. Essentially, they manage the funds that cover medical expenses, process claims, and ensure that providers receive payment. They also set coverage guidelines and determine how much of a healthcare cost is covered for each patient, helping to make healthcare expenses more predictable and accessible for policyholders.