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Figure 2-5
-Refer to Figure 2-5.A movement from point C to point D could be caused by
Elective Procedure
A medical procedure that is planned in advance and is not essential to the patient's immediate health, often implying that it can be scheduled at the patient's convenience.
Clean Healthcare Claim
A claim that is complete and accurate, needing no further review or investigation before being processed.
Managed Care Plan
A health insurance plan that contracts with medical providers and facilities to provide care for members at reduced costs.
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.
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