USAble® Life Connect PPO: Preferred provider organization.
Pharmacy Programs: Employer-sponsored, managed-care
program for prescription drug benefits.
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Value-Added Services: Services to help members get
the most from their health-plan benefits with no additional cost.
Case Management: Identifies members with special
health-care needs, develops a treatment plan, and coordinates and monitors cost-effective
medical care.
Coordination of Benefits: Coordinates payments for
services when an individual is covered by more than one health plan.
Hospital Bill Audits: Audits hospital bills to verify
charges and correct errors in hospital billing and medical claims payments.
Utilization Management: Review of medical
services against established norms to evaluate appropriateness and cost effectiveness.
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