Automated Clearing House
American Medical Association
Automated Response Unit
In the Original Medicare Plan, this means a doctor or supplier agrees to accept the Medicare-approved amount as full payment. If you are in the Original Medicare Plan, it can save you money if your doctor accepts assignment. You still pay your share of the cost of the doctor's visit.
The name for a person who has health care insurance through the Medicare or Medicaid program.
Bytes Per Inch
Cash Concentration/Disbursement Plus
Coverage Issues Addendum
Coverage Issues Manual
In some Medicare health and prescription drug plans, the amount you pay for each medical service, like a doctorâ€™s visit, or prescription. A copayment is usually a set amount you pay. For example, this could be $10 or $20 for a doctorâ€™s visit or prescription. Copayments are also used for some hospital outpatient services in the Original Medicare Plan
The amount you may be required to pay for services after you pay any plan deductibles. In the Original Medicare Plan, this is a percentage (like 20%) of the Medicare approved amount. You have to pay this amount after you pay the deductible for Part A and/or Part B. In a Medicare Prescription Drug Plan, the coinsurance will vary depending on how much you have spent.
Coorindation of Benefits
Process for determining the respective responsibilities of two or more health plans that have some financial responsibility for a medical claim. Also called cross-over.
The amount you must pay for health care or prescriptions, before Original Medicare, your prescription drug plan, or other insurance begins to pay. For example, in Original Medicare, you pay a new deductible for each benefit period for Part A, and each year for Part B. These amounts can change every year.
Department of Health and Human Services
Durable Medical Equipment
Durable Medical Equipment Prosthetics, Orthotics and Supplies
Durable Medical Equipment Regional Carrier
Electronic Funds Transfer
Employer Identification Number
Electronic Media Claim
Electronic Remittance Notice
Health Care Financing Administration
HCFA Common Procedure Coding System
Hospital Insurance Program (Part A)
Health Insurance Claim Number
HIPAA Health Insurance Portablilty & Accountability Act of 1966
Federal law that allows persons to qualify immediately for comparable health insurance coverage when they change their employment relationships. Title II, Subtitle F, of HIPAA gives HHS the authority to mandate the use of standards for the electronic exchange of health care data; to specify what medical and administrative code sets should be used within those standards; to require the use of national identification systems for health care patients, providers, payers (or plans), and employers (or sponsors); and to specify the types of measures required to protect the security and privacy of personally identifiable health care information. Also known as the Kennedy-Kassebaum Bill, the Kassebaum-Kennedy Bill, K2, or Public Law 104-191.
Individual Claim Consideration
Medicare Secondary Payor
National Automated Clearing House Association
Not Otherwise Classified
National Supplier Clearinghouse
National Standard Format
Office of Civilian Health & Medical Program of the Uniformed Services
Other Carrier Name Address
Statistical Analysis DMERC
Supplementary Medical Insurance Program (Part B)
Social Security Number
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