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1-Insurance ALL > TDI Training > Flashcards

TDI Training Flashcards

1
Q

Designated Doctor (DD)

A
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2
Q

reimbursment

A
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3
Q

preathorization medical necessity

Disclaimer

A

Aclaracion

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4
Q

Coverage

A

cobertura

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5
Q

insurance carrier

A

aseguradora

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6
Q

compensabel injury

A
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7
Q

entitlemnt to meeical benefits

A
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8
Q

Presumption law

A
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9
Q

treatemnet guidelines

A
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10
Q

outcome

A

resultado

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11
Q

FDA

A
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12
Q

prescription

A
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13
Q

drug created through compounding

A
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14
Q

adverse determination

not a medical necessity

A

determinacion desfavorable

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15
Q

concurrent

A
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17
Q

A pre authorization charge, or pre auth

18
Q

The Official Disability Guidelines

ODG

19
Q

Approval or Denial

20
Q

MMI Maximun Medical Improvemenet

21
Q

compensability extent or relatedness

22
Q

filing a complain

23
Q

screening criterie

24
Q

peer review

A

revisión colegiada/ revision de pares

25
Q

Utilization Review Agents (URA)

determines the medical necessity and appropriateness of health care se

26
Q

Utilization Review

A

revisión (o aprobación o autorización) de incidencia (o de caso) para recibir servicios médicos

27
Q

frivolous

28
Q

firts responders

A

servicios de emergencia

29
Q

Independent Review Organization – IRO

30
Q

Commissioner

A

comisionado

1-Insurance ALL (10 decks)

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