The agent (e.g., Blue Cross) that has contracted with providers
of service to process claims for reimbursement under health care coverage. In addition to
handling financial matters, it may perform other functions such as providing consultative
services or serving as a center for communication with providers and making audits of
providers' needs.*
Books and Other
Media:
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*Extracted from Family Physicians
and Managed Care: A View to the 90's: (paperback 1993) with permission from American Academy of Family Physicians
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