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Health - Health Insurance Glossary


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Access A person's ability to obtain affordable medical care on a timely . . .
Accreditation An evaluative process in which a healthcare organization undergoe . . .
Acquisition The purchase of one organization by another organization. . . .
Actuaries The insurance professionals who perform the mathematical analysis . . .
Actuary A mathematician working for a health insurance company responsibl . . .
Adjusted Community Rating (ACR) A rating method under which a health pla . . .
Administrative Services Only (ASO) Contract The contract between an employer and a t . . .
Admitting Privileges The right granted to a doctor to admit patients to a particular h . . .
Advocacy Any activity done to help a person or group to get something the . . .
Agent A person who is authorized by an MCO or an insurer to act on its . . .
Aggregate Stop-Loss Coverage A type of stop-loss insurance that provi . . .
Ambulatory Care Facility (ACF) A medical care center that provides a wi . . .
Ancillary Services Auxiliary or supplemental services, such as diagnostic services, . . .
Annual Maximum Benefit Amount The maximum dollar amount set by an MCO . . .
Antitrust Laws Legislation designed to protect commerce from unlawful restraint . . .
Appropriate Care A diagnostic or treatment measure whose expected health benefits . . .
Appropriateness Review An analysis of healthcare services with . . .
Associate Medical Director Manager whose duties are often defined a . . .
Association A group. Often, associations can offer individual health insuranc . . .
At-Risk Term used to describe a provider organization that bears the insu . . .

1 2 Aut - Civ 3 Civ - Com 4 Com - Den 5 Den - Emp 6 Emp - Ful 7 Ful - Hea 8 Hea - Lif 9 Lif - Med 10 Med - Nat 11 Nat - Par 12 Par - Pre 13 Pre - Pro 14 Pro - Ris 15 Ris - Sta 16 Sta - Und 17 Und - >