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the amount the insured has to pay toward the amount allowed by the insurance company for services.
a form of prepayment in which a provider agrees to furnish services to members of a particular insurance program for a fixed fee.
the dollar amount that must be paid by the patient before insurance will pay a claim based on coverage plans and benefits.
a method for preapproving all elective admissions, surgeries, and other services as required by insurance carriers.
third party payer
a carrier that has an agreement with an individual or organization to provide heath care benefits.
preferred provider organization. A special insurance program offering patients higher reimbursement by using physicians, hospitals, and laboratories within the PPO network.
a physician in a specialty area other than primary care who provides specialized care to the patient.
workers' compensation a contract that insures a person against on the job injuries paid for by the employer.
a method of settling a dispute with the judicial process involving an impartial third party to render a decision for settlement of a claim.
the process of taking a witness's sworn testimony by an attorney outside of the courtroom setting.
a compensable injury to an employee hired in one state but is injured on the job outside of that state.
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