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  • Fully Integrated Dual Advantage (FIDA) > Claims

    For instructions on submitting your claims, see the Overview and Contacts section of this chapter. For information about EmblemHealth's policies and procedures for submitting your claims, please refer to the Claims chapter.

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    Glossary terms found on this page:

    An itemized statement of health care services and their costs provided by a hospital, physician's office or other health care facility. Claims are submitted to the insurer or managed care plan by either the plan member or the provider for payment of the costs incurred.

    Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.


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