8 Terms
Home > Industry/Domain > Insurance > Health insurance
Health insurance
Industry: Insurance
Add a new termContributors in Health insurance
Health insurance
open formulary
Health care; Managed care
A list of drugs that a health plan prefers, but does not mandate physicians to prescribe.
compendium
Health care; Managed care
A list of information about drugs, their interactions, and their side effects.
nonplan provider
Health care; Managed care
A health care provider without a contract with an insurer; similar to a nonparticipating provider.
intermediate nursing facility
Health care; Managed care
A health facility licensed by the state and oft en certified by Medicare or Medicaid to provide intermediate care.
Medicare+Choice Medical Services Account
Health care; Managed care
A health insurance account created by contributions from the Centers for Medicare and Medicaid Services (CMS, formerly HCFA) to pay out-of-pocket medical expenses for Medicare beneficiaries. The ...
prospect file
Health care; Managed care
A health insurance agent’s card of computerized listing of present clients, prospects, and suspects, usually arranged according to alphabet and by date to contact.
first pass
Health care; Managed care
A health insurance claim that has been adjudicated from submission to payment or rejection.
