5 Terms
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Health insurance
Industry: Insurance
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Health insurance
reduced moral hazard
Health care; Managed care
A condition or provision that discourages an insured from trying to make a profit through his or her insurance. The suicide clause and the duplication of benefits clause are examples.
impairment of capital
Health care; Managed care
A condition to which the surplus account of an insurance stock company has been exhausted, so that it must invade the capital account to meet liabilities.
infertility
Health care; Managed care
A condition whereby an otherwise healthy person is documented as unable to conceive aft er 1 year of unprotected sexual intercourse.
current procedural terminology (CPT)
Health care; Managed care
A list of physician or provider services or procedures that are represented by a five-digit code. These codes have become a nationwide dialect for services and procedures within the health care ...
maximum allowable cost (MAC) list
Health care; Managed care
A list of prescriptions where the reimbursement will be based on the cost of the generic product.
surgical schedule
Health care; Managed care
A list or table of cash or payments in a health or managed care insurance policy.
