Examlex
Sierra Water,a bottled water brand,is available in every possible outlet in the trading area.What channel intensity strategy is most likely being used for Sierra Water?
Capitation
The health care provider is paid a fixed amount per member per month for each patient who is a member of a particular insurance organization regardless of whether services were provided.
Precertification
Refers to obtaining plan approval for services prior to the patient receiving them; refers to seeking approval for a treatment (surgery, hospitalization, diagnostic test) under the patient’s insurance contract.
Specified Outpatient
Specified Outpatient refers to particular outpatient medical treatments or procedures that are predefined under a health plan or policy for coverage or reimbursement.
Coordination of Benefits (COB)
A process in health insurance to determine the order of responsibility when a person is covered by more than one insurance plan, to avoid overlapping payments.
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