![](/template/termwiki/images/likesmall.jpg)
Home > Industry/Domain > Insurance > Health insurance
Health insurance
Industry: Insurance
Add a new termContributors in Health insurance
Health insurance
group model
Health care; Managed care
A managed care organization that contracts with providers of an existing medical group.
medicaid MCO
Health care; Managed care
A managed care organization that provides comprehensive services to Medicaid beneficiaries, but not commercial or Medicare enrollees.
medicaid-only MCO
Health care; Managed care
A managed care organization that provides comprehensive services to Medicaid beneficiaries, but not commercial or Medicare enrollees.
certified health plan
Health care; Managed care
A managed health care plan certified by the Health Services Commission and the Office of the Insurance Commissioner to provide coverage for the Uniform Benefits Package to state residents.
proof of loss
Health care; Managed care
A mandatory health insurance policy provision stating that the insured must provide a signed and completed claim form to the insurance company within 90 days of the date of loss.
legal action provision
Health care; Managed care
A mandatory health provision that states that the policy owner must allow 60 days aft er submitting the proof of loss forms before taking legal action, and if the policy owner sues, such action must ...
time of payment of claims provision
Health care; Managed care
A mandatory, health insurance provision specifying how long an insurance company has to pay claims.
Featured blossaries
karel24
0
Terms
23
Blossaries
1
Followers
Political Parties in Indonesia
![](/template/termwiki/images/likesmall.jpg)
![](https://accounts.termwiki.com/thumb1.php?f=334deb7b-1411697632.jpg&width=304&height=180)
Silentchapel
0
Terms
95
Blossaries
10
Followers
Surgical -Plasty Procedures
![](/template/termwiki/images/likesmall.jpg)
![](https://accounts.termwiki.com/thumb1.php?f=fe48a244-1407693441.jpg&width=304&height=180)