Examlex
Simplify the expression. Assume all variables represent nonnegative numbers.
Predetermination
Refers to the discovery of the maximum amount of money the carrier will pay for primary surgery, consultation service, postoperative care, and so on.
Carrier
(1) Associated with diseases inherited; (2) One who carries, transports; with insurance, it’s the company that provides the policy.
Approved Medical Bill
A health care invoice that has been processed and confirmed for payment by an insurance company or health plan.
Utilization Management (Review)
A process used in healthcare to optimize the use of resources and ensure that treatments provided to patients are appropriate, necessary, and efficient.
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