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2. Third-party administrator - Wikipedia

   en.wikipedia.org/wiki/Third-party_administrator

   In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.

3. What is an insurance claim and when should you file one? - AOL

   www.aol.com/finance/insurance-claim-file-one...

   The process varies from provider to provider, but how you file a car insurance claim usually begins with a phone call, filling out an online form or using your insurance company’s app to begin ...

4. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   If the patient in the previous example had a $5.00 copay, the physician would be paid $45.00 by the insurance company. The physician is then responsible for collecting the out-of-pocket expense from the patient. If the patient had a $500.00 deductible, the contracted amount of $50.00 would not be paid by the insurance company.

5. What is homeowners insurance and how does it work? - AOL

   www.aol.com/finance/homeowners-insurance-does...

   An insurance policy is a contract where the homeowner and insurance company agree that in exchange for a premium payment, the insurance company will provide compensation for the repairs or ...

6. The spotlight is on health insurance companies. Patients are ...

   www.aol.com/lifestyle/denied-claims-bankruptcy...

   And most people don’t push back — a study found that only 0.1% of denied claims under the Affordable Care Act, a law designed to make health insurance more affordable and prevent coverage ...

7. Utilization management - Wikipedia

   en.wikipedia.org/wiki/Utilization_management

   Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...