health insurance claims terms

and billing; the employer bears the risk for claims. ?. This is common in self- insured health care plans. Coinsurance - A form of medical cost sharing in a health .

Health Insurance Terminology
Co-insurance: The portion of the approved claim that you, the policy holder, are . terms and conditions of pension and/or health insurance plans presided over .

Glossary of Insurance Terms
A.M. Best's Glossary of Insurance Terms provides descriptions of insurance terms . . For health insurance, it is a percentage of each claim above the deductible .


Term Definition 270 Health Care Eligibility Benefit Inquiry 271 ...
Institutional Health Care Claim. 837P. Professional Health Care Claim. Accepted. Terminology referring to paper, electronic, and system generated claims that .

NAHU - Consumer Information - Glossary of Terms
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Lagged Claims Lapse Lifetime Aggregate or Maximum Long-term Care (LTC) .

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Health insurance terms and definitions
Claim -- Request for payment under the terms of the policy. May be submitted by the insured or the health care or service provider. Closed access -- Also known .

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Health insurance glossary
A consumer dictionary of terms used in the health insurance industry. . A claim is an application for benefits provided by your health plan. You must file a claim .

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HIPAA and DHFS Acronyms, Terms, and Definitions
Jul 12, 2010 . Acronyms and specialized terminology used by public and private agencies are . AFEHCT - Association for Electronic Health Care Transactions . EMC - Electronic Media Claim - Sending claim information electronically to a .

Individual Health Insurance Planning: Medical, Disability Income ...
In general, as the following discussion indicates, the payment of health insurance claims under medical expense, disability income, and long-term care policies .

Lawriter - ORC - 753.021 Submitting health insurance claims for ...
753.021 Submitting health insurance claims for prison inmates. . coverage, what terms and conditions are imposed by it for the filing and payment of claims.

Deductible - Wikipedia, the free encyclopedia
In a typical automobile insurance policy, a deductible will apply to claims arising . Most health insurance policies and some travel insurance policies have . the Creative Commons Attribution-ShareAlike License; additional terms may apply.

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Individual Health Insurance & HMO Claims ... - Gianelli & Morris
For legal help with your individual health insurance or HMO claims disputes, . but trouble in return, we can file a claim to make them follow the terms of your .

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