Same as drug utilization review except it is qualitative. See drug utilization review (DUR) .

Evaluation of prescription drug use and prescribing patterns by physicians to establish the appropriateness of drug treatment. DUR may be done for individual patients, an entire insured group, for current, past, or future usage. Medication costs may be reduced by substituting generic for brand name drugs and use of a drug formulary.

Individual who receives medical and/or disability benefits from both Medicare and Medicaid programs. Formerly called Medicare/Medicaid (Medi-Medi) . Also see Medicare/Medicaid (Medi-Medi) .

Insurance plan that allows an individual the opportunity to choose between joining a managed care plan or a traditional health insurance plan (e.g., indemnity insurance or a managed care organization).

Insurance sales representative who is licensed and registered with more than one broker.

Part of the Health Maintenance Organization (HMO) Act of 1973 in which employers must meet specific specifications to offer health insurance through a federally qualified HMO as an alternative to a traditional health insurance plan. Also referred to as dual choice .

Insurance premium that is due an insurance company and has not been received as of a certain date.