Create an account
advance pymts to a provider that covers each plan member's health care services for a certain period of time
the part of charges that an insured person must pay for health care services after pymt of deductible
consumer-driven health plan-CDHP
a type of managed care in which a high deductible/low premium insurance plan in combined with a pretax savings account to cover out-of -pocket expenses
explanation of benefits EOB
paper document from insurance company that shows how the amount of a benefit was determined
health plan that repays the policyholder for covered medical expenses-common in traditional plans
health maintenance organization-HMO
a managed health care system in which providers agree to health care for the HMO's members for fixed payments from the plan
a type of health coverage where the carrier is responsible for both the financing and delivery of health care
treatment provided by a physician to a patient for the purpose of preventing, diagnosing or treating an illness, injury or its symptoms in a manner that is approriate to generally accepted standards
patient information form
a form that includes a patient's personal, employment and insurance data needed to complete the insurance claim
private or government organization that insures or pays for health care on the behalf of the beneficiaries
practice management program-PMP
a software program that automates many of the administrative and financial tasks required to run a medical practice
preferred provider organization-PPO
a managed health care system where a network of providers agree to perform services to plan members at a discounted fee
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