20 Terms
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Health insurance
Industry: Insurance
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Health insurance
return for no claim
Health care; Managed care
A provision in some health policies stating that if no claims have been paid during the term of the policy (or aft er the policy has been in force for a specified time), the insurance company will ...
capital gains tax
Health care; Managed care
A provision in the federal income tax law that previously subjected profits from the sale of capital assets to less tax than would be required for ordinary income.
gag clause
Health care; Managed care
A provision of a contract between a managed care organization and a health care provider that restricts the amount of information a provider may share with a beneficiary or that limits the ...
shared savings
Health care; Managed care
A provision of most prepaid health care plans in which at least part of the providers’ income is directly linked to the financial performance of the plan.
prior deductible credit
Health care; Managed care
A provision that allows a member or family to apply any deductible credit.
recurrent disability provision
Health care; Managed care
A provision that specifies a period of time during which the recurrence of a disability from the same accident or sickness is considered to be a continuation of the prior disability, thereby ...
identification of benefits
Health care; Managed care
A provisional list of health insurance benefits that are reimbursed, usually up to a maximum amount.
