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A  
Ambulatory care
B  
C  
Cafeteria plan
Case management
Coinsurance
Concurrent review
Cost sharing
Current procedural technology (CPT)
D  
Deductible
E  
Exclusive provider organization (EPO)
Experience rating
F  
Fee-for-service (FFS)
G  
Gatekeeper
H  
Health maintenance organization (HMO)
I  
J  
K  
L  
M  
Member
Medicare Part B
N  
O  
Open enrollment
P  
Preferred provider organization (PPO)
Q  
R  
Respite care
S
Skilled nursing facility (SNF)
T  
Tertiary care
Triage
U  
Usual, customary and reasonable (UCR)
V  
W  
X  
Y  
Z  
 
   
Authorization
   
   
Capitation
COBRA
Community rating
Copayment
Credentialing
   
   
Dual choice
   
Employee assistance program (EAP)
 
   
Formulary
   
   
   
   
   
   
   
   
   
Medicare Part A
 
 
 
 
 
 
 
 
 
 
Stop-loss insurance
 
Third-party administrator
 
 
Utilization review
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Health plan products and services are offered by PacifiCare of California and PacifiCare Behavioral Health of California, Inc.
Indemnity insurance products (including PPO products) offered in California are underwritten by PacifiCare Life and Health Insurance Company.
Other products and services are offered by PacifiCare Health Plan Administrators, Inc., RxSolutions, Inc., and PacifiCare Behavioral Health, Inc.
PacifiCare® is a federally registered trademark of PacifiCare Life and Health Insurance Company.
 
 
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