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Glossaries

For many of us, medical and health insurance terms are unfamiliar or complex. Our glossaries define some of those terms.


		Case manager An employee or agent of an insurer, managed care oganization, hospital, employer or independent firm who coordinates and manages the care of seriously ill or high-risk patients to ensure that they receive high-quality, cost-effective treatment.

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Capitation
Carrier
Case management
Case manager
Case rate
Cash indemnity benefits
Certificate of medical necessity (CMN)
Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
Claim
Claim form
Claims examiner
Coding
Coinsurance
Complainant
Complementary
Coordination of benefits (COB)
Cost sharing
Coverage
Crossover
Current procedural terminology
Customary charge

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