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Cards In This Set
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AMONG APPLICANTS FOR A GIVEN GROUP OR INDIVIDAUL PROGRAM
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ADVERSE SELECTION
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A PATIENT KNOWN AS OR FORMAERLY KNOWN AS
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ALIAS
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A PROSPECTIVE HOSPITAL CLAIMS REIMBURSEMENT SYSTEM CURRENTLY UTILIZED BY THE FEDERAL GOV
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ALL PATIENT DIAGNOSIS RELATED GROUPS ASSIGNMENT OF BENIFITS (APDRG)
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LETERS NUMBERS PUNCTUATRION MARKS AND MATHEMATICAL SYMBOLS
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ALPHANUMERIC
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PATIENT RECEIVES MEDICAL OR SURGICAL CARE IN AN OUTPATIENT SETTING
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AMBULATORY CARE PATIENT
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A SYSTEM OF AVERAGING AND BUNDLING USING CURRENT PROCEDURAL TERMINOLOGY (CPT)
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AMBULATORY PAYMENT CLASSIFICATION (APC)
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A FREESTANDING FACILITY
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AMBULARTORY SURGICAL CENTER
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A UNIT OF THE HOSPITAL OTHER THAN A NURSING UNIT WHICH PROVIDES MEDICAL SERVICES SUCH AS DIAGNOSTIC AND THERAPEUTIC TESTING
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ANCILLARY SERVICES
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THE MACMUM DOLLAR AMOUNT SET BY A MANAGED CARE ORGANIZATION (MCO)
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ANNUAL MAXIMUM BENEFIT AMOUNT DEDUCTIBLE
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A SPECIAL KING OF COMPLAINT MADE WHEN A BENEFICIARY OR PROVIDER DISAGREES WITH DECISION
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APPEAL
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A DIAGNOSTIC OR TREATMENT MEASURE WHOSE EXPECTED HEALTH BENEFITS EXCEED ITS ITS EXPECTED HEALTH RISKS
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APPROPRIATE CARE
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WRITEN AUTHORIZATION FROM THE POLICYHOLDER FOR THEIR INS COMPANY TO APY BENEITS DIRECTLY TO THE CARE PROVIDER
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ASSIGNMENT OF BENEFITS
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THE PHYSICIAN WHO WRITES OUTPATIENT ORDERS FOR TESTS OR SUPERVISES THE PATIENTS CARE DURING AN INPATINT STAY
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ATTENDING PHYSICIAN
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APPROVAL OBTAINED FORM AN INS CARRIER FOR A SERVICE THAT REPRESENTS AN AGREEMENT FOR PAYMENT
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AUTHORIZATION
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THE FORM AUTHORIZING TO RELEASE INFO FROM THE MEDICAL RECORDS TO DOCTORS HOSPITALS INS ETC
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AUTORIZATION TO RELEASE MEDICAL INFO
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