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Ombudsperson or ombudsman

A person within a managed care organisation or a person outside of the health care system (such as an appointee of the state) who is designated to receive and investigate complaints from beneficiaries about quality of care, inability to access care, discrimination, and other problems that beneficiaries may experience with their managed care organization. This individual often functions as the beneficiary's advocate in pursuing grievances or complaints about denials of care or inappropriate care. organisations are mostly able to designate a member of their own staff as ombudsman.

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  • Part of Speech: noun
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  • Industry/Domain: Health care
  • Category: General
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