5 Terms
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Health insurance
Industry: Insurance
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Health insurance
home style birthing
Health care; Managed care
A nontraditional birthing unit, in which labor, delivery, and recovery, as well as nursery services, are provided in a single room for each delivery.
prior approval
Health care; Managed care
A notification requirement for certain elective medical procedures, such as cosmetic surgery. Receiving written prior approval will ensure receipt of full benefits.
authorization number
Health care; Managed care
A number assigned to each authorized referral for service outside the health plan. This number is put on a claim form to allow claims payment.
location code
Health care; Managed care
A numeric designation on the billing form of a medical provider or health care entity.
PAR prescriber
Health care; Managed care
A participating provider who is licensed to prescribe drugs to patients.
referred or referral
Health care; Managed care
A participating provider’s written request to have a covered person receive benefit coverage for services rendered by a nonparticipating provider as well as the insurer’s written approval for such ...
general partnership
Health care; Managed care
A partnership in which each partner contributes to the business, either in the form of money or services, and also shares in the control and management of the business. Each partner in a general ...
