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Claim Jumper
Terms related to health claims
Term | Definition |
---|---|
Claim | request for payment according to contract or policy |
EOB | Explanation of Benefits - a summary of benefits related to a claim |
Allowed Amount | Amount of payment allowed by contract for covered services |
DME | Durable Medical Equipment |
DRG | Diagnosis related group |
FFS | Fee for Service |
HIPAA | Health Insurance Portability and Accountability Act of 1996 |
MCO | Managed Care Organization |