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Med. Insurance Terms

Medical Insurance in a Flash Chapter 13

QuestionAnswer
The process of coding integral services separately Unbundling
The usual waiting period for a pre-existing condition 12-18 months
The form that accompanies the check from an insurance company Remittance Advice
A substitute physician Locum Tenens
MREP Medicare Remit Easy Payment
SPR Standard Paper Remittance Advice
ERA Electronic Remittance Advice
CO Contractual Obligation
RA Remittance Advice
NSF Non-Sufficient Funds
Payment methods for paying medical bills Check, Cash, Credit Card, and Debit Card
COINS AMT Co-Insurance Amount
TOTAL RC AMT Total Amount of Adjustments Made to Claims
NET Contains Net Amount That Medicare Owed the Provider for the Claim
ADJ TO TOTALS Contains the Following Three Fields: PREV, PD, INT, and LATE FILING CHARGE
PT RESP Patient Responsibility
PROV PD Provider Paid
OA Other Adjustment
CR Correction and Reversal
NOS Number of Services
Popular Insurance sets

 

 



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