________ Includes Business Intelligence Software to Provide Additional Analysis for Improved

question 65

Short Answer

________ includes business intelligence software to provide additional analysis for improved decision making.

---

Definitions:

Health Maintenance Organizations

A type of health insurance plan that typically requires members to receive care from a network of specified healthcare providers and facilities to be covered.

Capitated Rate

A payment arrangement for healthcare service providers where they receive a set amount for each enrolled person assigned to them, regardless of the amount of services provided.

Copayments

A fixed amount paid by a patient for a covered healthcare service, usually when receiving the service, with the rest covered by their insurance.

Primary Payer

The insurance policy, plan, or program that is responsible for paying first on a claim for medical services before any other secondary coverage is considered.