9-1 Fundamental of Managed care

A means to identify primary responsibility in insurance coverage.

Ceasing or discontinuing.

When both spouses have health care insurance, the policy provision that limits benefits to 100% of the cost; also known as dual coverage.

Payment made directly to the physician by the insurance company.

To surround, enclose.

A tool or instrument for doing something; to put into effect.

The amount paid or payable (for example, an insurance policy premium).

Occurring first in time, development, or sequence; earliest.

To pay back or compensate for money spent, or losses or damages incurred.

One step removed from the first; not primary.