Examlex
In a sell or process further decision management should process further as long as the incremental revenues from additional processing exceed the incremental variable costs.
Medicare Fee-for-service
A payment model under Medicare where providers are paid for each service they render, including tests, surgeries, and other procedures.
Medigap Insurance
Supplemental insurance that covers costs not covered by Medicare, such as copayments, coinsurance, and deductibles.
Allowable Charge
The maximum amount a health plan or insurance pays for a covered healthcare service, also known as the approved, eligible, or allowed amount.
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