Coverage.
This is the limit of coverage.
Capitation.
This is the amount of insurance for which a service provider has agreed to pay attention to all its members have paid.
In the provider network.
They are affiliated providers to insurers and selected to provide medical services to members of the insurance company.
The prior authorization.
This is to pay a letter of authorization from the insurance company, the agreement of your health.
Explanation of benefits.
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