20 Terms
Home > Industry/Domain > Health care > Managed care
Managed care
A health care practice intended to streamline services and provide high quality, cost-effective care.
Industry: Health care
Add a new termContributors in Managed care
Managed care
health outcomes institute (HOI)
Health care; Managed care
A nonprofit organization dedicated to promoting the development of managed care through education, collection of data, and outcomes research.
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 ...
