Term
| breach of confidentiality |
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Definition
| The failure to keep patient information confidential. |
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Term
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Definition
| The most common health insurance claim form. |
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Term
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Definition
| Has a contractual agreement with an insurance plan to render care to eligible beneficiaries and then bill |
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Term
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Definition
| A health insurance claim form that has been completed bu has some type of incorrect information. |
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Term
| assignment of benefits form |
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Definition
| form that allows the insurance carrier to pay the physician directly for billed charges. |
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Term
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Definition
| applies if the patient has primary insurance and also has coverage available through the spouse's employer |
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Term
| nonparticipating provider |
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Definition
| Bills the patient directly. The patient is expected to pay the charges and then submit the claim to the insurance company. |
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Term
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Definition
| a health insurance claim form that has been completed correctly without any errors or omissions. |
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Term
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Definition
| term used to indicate that the physician has agreed to forgeit the amount that the insurance company does not authorize |
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Term
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Definition
| can occur when procedures or services are not covered by the patient's insurance pllicy or when the patient has not met his or her deductible. |
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Term
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Definition
| when a health insurance claim form is incorrect because it has missing data or errors. |
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Term
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Definition
| the coverage provided by the patient's employer |
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Term
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Definition
| used by insurance claims administrators to determine which parent's benefit plan will be the primary insurance plan of a dependent child who is covered by the employer-sponsord insurance plans of both parents. |
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Term
| The National Supplier Clearinghouse |
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Definition
| an independent entity that reviews claims |
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