General

Ongoing learning to maintain and enhance professional knowledge and skills.

The maximum amount the payer allows for the service based on provider contracts.

A specific situation in which a drug procedure or surgery should not be used because it may be harmful.

A drug or chemical whose manufacture possession and use are regulated by government due to potential for abuse or addiction.

A process used by health insurance companies to determine who pays first when a person is covered by more than one health plan.

A process that investigates and solves problems, identifies causes, and prevents recurrence of nonconformities.

A synthetic hormone medication with anti-inflammatory and immunosuppressive properties.