What Are Guides to Decision Making Called

question 110

Multiple Choice

What are guides to decision making called?

• A) Strategies
• B) Rules
• C) Policies
• D) Objectives
• E) Goals

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Definitions:

Real-Time Adjudication

The immediate processing and payment determination of healthcare claims during the point-of-service.

Electronic Eligibility

The use of digital systems to verify a person's eligibility for certain benefits or services, such as healthcare coverage.

Copayment

A fixed amount paid by a patient for a covered healthcare service, usually payable at the time of the service.

Out-Of-Network Services

Health care services received from providers not contracted with the patient's health insurance plan, often resulting in higher out-of-pocket costs.