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Fee-For-Service Payment

Assignment of Claim

Prospective

Fee-For-Service

Capitation

Implied contract

Retrospective

Express contract

Fee

Episode of Care Payment

Pre-set before costs are incurred and services delivered.

Payment for a single service

A contract in which the conduct of the parties creates the contract rather than expressed words

Payment made after costs are incurred.

An exchange of promises and terms that are agreed upon by both parties, declared in writing or verbally at the time the contract is made

Provider receives one lump sum for all services provided to related condition or disease.

Policy holder instructs insurance to pay provider.

Payment for an entire population for a period of time.

Providers charge based on each service performed.

Amount charged by the provider of services.