Payment Methods - Policyholder or Employer Second Party...

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Payment Methods Tabitha Neufind HCR 220 Felecia Pettit-Wallace
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Payment Under Fee-for-Service Second Party Provider Insurance Specialist Third Party Health Plan Pays for services received Provides medical services Files claims Reimburses provider on behalf of the patient Pays Premium Reimburses medical expenses First Party Patient Policyholder or employer
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Payment Under Capitation First Party Patient
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Unformatted text preview: Policyholder or Employer Second Party Provider Insurance Spet Third Party Health Plan Provides Medical Services Pays Premium Files Encounter Data Prepays capitated rate for medical expenses Conclusion P See more patients P Can bill for more charges P Provider risks lower per-visit fees P Payments stay the same no matter how many patients are seen....
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Payment Methods - Policyholder or Employer Second Party...

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