The new law established the Pre-existing Condition Insurance Plan. Some states also have their own high risk pool plan. HIPAA A federal law that outlines the rules and requirements plans must follow to provide health care insurance coverage for individuals and groups. I Individual & Family Out-...
Prior Authorization The process by which a plan member or their doctor gets approval from their health plan before the member undergoes a course of care, such as a hospital admission or a complex diagnostic test. Also called preauthorization. Provider A licensed health care facility, program, age...