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What Kind of Decision Involves a Choice Between Internal and External

question 30

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What kind of decision involves a choice between internal and external production?


Definitions:

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.

Plan Members

Individuals who are enrolled in and receive benefits from a health insurance plan or program.

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