18 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
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Managed care
digital imaging and communications in medicine
Health care; Managed care
A standard for communicating images, such as x-rays, in a digitized form. This standard could become part of the HIPAA claim attachments standards.
commissioners standard ordinary mortality table (CSO)
Health care; Managed care
A standard mortality table prepared by the National Association of Insurance Commissioners used in the life and disability insurance rate calculations.
underinsuranced
Health care; Managed care
A state or condition in which inadequate insurance is carried to satisfy an individual’s or business’s insurance needs in the event of the insured’s death or illness.
explanation of benefits (EOB)
Health care; Managed care
A statement of coverage that lists any health services that have been provided as well as the amount billed and payment made by the health plan for those services.
explanation of medicare benefits
Health care; Managed care
A statement of Medicare Part B coverage that lists assignments available, and if not physician accepted, with a benefit check payable to the recipient for them.
explanation of coverage
Health care; Managed care
A statement or booklet of coverage that lists any health services that will be provided, as needed, for covered medial services.
guaranty fund
Health care; Managed care
A state-required pool of funds covering benefits of insolvent insurers and designed to protect providers and consumers.
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