Health insurance

Health insurance

Industry: Insurance

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Health insurance

intermediate report

Health care; Managed care

A claim report on the condition of a continuing disability.

clean claim

Health care; Managed care

A claim that meets all insurer requirements and is submitted before the filing limit.

confinement clause

Health care; Managed care

A clause in some health insurance policies that specifies that disability income benefits are payable as long as the insured is confined at home, in a hospital, or in a sanitarium.

examination under oath

Health care; Managed care

A clause in some insurance policies that permits the insurance company to obtain statements on claims and related facts from an insured under oath. Perjury charges may result from false claims.

defeasance

Health care; Managed care

A clause included in some health insurance policies which provides that performance of certain specified acts will nullify the contract agreement.

sound health clause

Health care; Managed care

A clause sometimes included in a policy that states that the policy will not take effect on delivery unless the applicant is alive and in good health.