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An Externality Is

question 89

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An externality is


Definitions:

Network of Providers

A group of healthcare providers, such as doctors and hospitals, that agree to offer services to a specific health insurance plan's members at negotiated rates.

Plan Members

Individuals who are enrolled in and receive benefits from a health insurance plan or program.

Explanation of Payment

A detailed description or clarification of why a payment was made and what it covers.

Remittance Advice

A document sent by a payer to a payee, providing details on the payment of an invoice, including information on any adjustments or deductions taken.

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