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Fee-for-Service

A method of paying for health or medical services. Doctors and hospitals are paid for each individual service they provide to the patient. Bills can be paid in two different ways; paid by the patient who submits the claims to the insurance company or the provider can submit for reimbursement to the patient's insurance carrier.

Medical Loss Ratio (MLR)

The percentage of health insurance premium dollars an insurer spends on reimbursement for clinical services and activities to improve health care quality. The Affordable Care…