- Other Party Liability (OPL)
- A cost containment program that recovers money where primary responsibility does not exist because of another group health plan or contractual exclusions. Includes coordination of benefits, Workers' Compensation, subrogation and no-fault auto insurance.
- out-of-pocket maximums
- Dollar amounts set by MCOs that limit the amount a member has to pay out of his/her own pocket for particular healthcare services during a particular time period.
- outpatient care
- Treatment that is provided to a patient who is able to return home after care without an overnight stay in a hospital or other inpatient facility.