4 Terms
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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
identification of benefits
Health care; Managed care
A provisional list of health insurance benefits that are reimbursed, usually up to a maximum amount.
day treatment center
Health care; Managed care
A psychiatric facility that is licensed to provide outpatient care and treatment of mental or nervous disorders or substance abuse under the supervision of physicians.
health care clearinghouse
Health care; Managed care
A public or private entity that does either of the following, including but not limited to, billing services, repricing companies, community health management information systems or community health ...
rural health clinic (RHC)
Health care; Managed care
A public or private hospital, clinic, or physician practice designated by the federal government as in compliance with the Rural Health Clinics Act (Public Law 95-210). The practice must be located ...
third-party payer
Health care; Managed care
A public or private organization that pays for or underwrites coverage for health care expenses.
utah health information network
Health care; Managed care
A public–private coalition in the State of Utah for reducing health care administrative costs through the standardization and electronic exchange of health care data.
audit of provider treatment or charges
Health care; Managed care
A qualitative or quantitative review of services rendered or proposed by a health provider. The review can be carried out in a number of ways: a comparison of patient records and claim form ...
