A Third-Party Payer Is an Organization That Processes Claims for ____________________

question 55

Short Answer

A third-party payer is an organization that processes claims for ____________________ covered by a health care plan.

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Definitions:

Case Management

Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual's comprehensive health needs.

Medical Model

A framework in healthcare that views medical issues through the lens of biological factors and emphasizes diagnosis and treatment, often contrasted with holistic or social models of health.

Case Management

A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s or family's comprehensive health needs.