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In your work in the IT department, you are charged with asking the difficult questions about the feasibility of new systems as they are being developed. Now that you know who installs software, you need to discuss the requirements of the software. Who do you contact?
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.
Plan Members
Individuals who are enrolled in and receive benefits from a health insurance plan or program.
Explanation of Payment
A detailed description or clarification of why a payment was made and what it covers.
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