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insurance terms and acronyms week 3
|continuity of care
|the delivery of services provided to a person that proceeds without a lapse or interruption, with the intended purpose of maintaining a level of health and treatment.
|a specified amount the insured must pay toward the charge for professional services rendered at the time of service.
|an amount to be paid before insurance will pay.
|a list of predetermined payment amounts for professional services provided to patients.
|a person or group in whose name an insurance policy is held
|medical and hospital care for all at a nominal cost by means of government regulation of health care and subsidies derived from taxation.
|third party payer
|a fancy way of referring to your health plan or health insurer. When you see a doctor or go in for a medical procedure, you'll pay a share of the bill, maybe through a copayment.
|a process in which an educational institution or program establishes credibility or legitimacy by complying with predetermined standards.
|the health care provider is paid a fixed amount per member per month for each patient who is a member of a particular insurance organization regardless of whether services were provided.
|fee for service
|payment for each service that is provided; individuals who choose to pay high premiums so that they have the flexibility to seek medical care from health care professionals of their choice.
|A gag clause is often used as part of an employment contract as a way for an employer to protect special and/or proprietary corporate information, trade secrets, and confidential employee information.
|one who regulates access to someone or something; in insurance, a primary care physician who coordinates the patient's referral to specialists and hospital admissions.
|electronic funds transfer
|electronic healthcare records
|Explanation of Benefits
|electronic remittance advice
|Federal Employment Compensation Act
|Healthcare Common Procedural Coding System
|Health Insurance Portability Accountability Act
|health maintenance organization
|international Classification of Disease
|independent practice association
|integrated provider organization