Signing over of benefits by the beneficiary to another party.
Assignment of Benefits
method to determine which of 2 or more policies covering a dependent child will be primary; the parent with the bday first in the calendar year is the primary
person under a policy elgible to receive benefits
the amt of incurred medical expenses that must be met before the insurance policy will begin to pay
gross income divided by the amt that could have been collected less disallowances.
percentage paid by the company or that paid by the insured.
payment required when seen by the provider
the provision of an insurance contract that limits benefits to 100% of the cost.
Coordination of Beneifts
obtaining an insurance carrier's consent to proceed with patient care and treatment
high deductible and low monthly premium pay out of pocket for o/v and prescriptions
low-income insurance funded by the fed. gov. considered after primary ins.
largest in the US. For 65+ years, disability, and chronic kidney disease.
Usual, Customary, and Reasonable; fee schedule used by Medicare