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Managed care
A health care practice intended to streamline services and provide high quality, cost-effective care.
Industry: Health care
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Managed care
unauthorized insurer
Health care; Managed care
An insurance company not licensed to do business in a particular state.
disclaimer
Health care; Managed care
An insurance company statement that a claim has been denied because a policy provision or clause had been breached.
preapproach
Health care; Managed care
An insurance contact made by an agent to prospects, or potential prospects, by letter or other communication, to approach the prospects on the most favorable basis possible.
closed contract of insurance
Health care; Managed care
An insurance contract wherein rates and policy provisions cannot be changed. Fraternal insurance companies are not permitted to write this type of insurance.
coverage decision
Health care; Managed care
An insurance coverage decision to pay for or provide a medical service or technology for particular clinical indications.
inquiry blank
Health care; Managed care
An insurance form submitted to the company by an agent for the purpose of determining whether or not the company will give authority to have an applicant medically examined. A form used by agents to ...
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