Health Ins and Claims Chapter 3
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| voluntary process that a health care facility or organization undergoes to demonstrate that it has met standards beyond those required by law | show 🗑
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| show | capitation
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| submits written confirmation, authorizing treatment, to the provider | show 🗑
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| show | concurrent review
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| show | (CDHP)consumer-directed health plan
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| show | enrollees
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| show | (EPO) exclusive provider organization
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| show | fee-for-service
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| primary care provider for essential health care services at the lowest possible cost, avoiding non-essential care, and referring patients to specialists | show 🗑
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| show | (HSA)health savings account
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| show | network model HMO
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| physician or health care facility under contract to the managed care plan | show 🗑
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| show | physician incentives
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| show | (POS)point-of-service plan
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| show | (PPO)preferred provider organization
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| responsible for supervising and coordinating health care services for enrollees and preauthorizing referrals to specialists and inpatient hospital admissions (except in emergencies) | show 🗑
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| show | prospective review
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| show | retrospective review
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| show | second surgical opinion
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| show | subscribers (policyholders)
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| show | utilization management (utilization review)
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| show | managed health care (managed care)
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| owned by hospital(s) and physician groups that obtain managed care plan contracts; physicians maintain their own practices and provide health care services to plan members | show 🗑
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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