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Capitated Rate
A payment arrangement for healthcare service providers where they receive a set amount for each enrolled person assigned to them, regardless of the amount of services provided.
Copayments
A fixed amount paid by a patient for a covered healthcare service, usually when receiving the service, with the rest covered by their insurance.
Primary Payer
The insurance policy, plan, or program that is responsible for paying first on a claim for medical services before any other secondary coverage is considered.
Work-sponsored Insurance
Insurance coverage provided by an employer, often including health, dental, and life insurance benefits.
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