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