Med insurance
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| Release of Information | Legal document that authorizes info to be released to a medical insurance carrier
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| IPA | Independent practice association
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| HMO | Health maintenance organization
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| Primary Diagnosis | A patients major health problem
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| Attending Physician | The physician in charge of patient care
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| TAR | Treatment authorization request
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| Provisional Diagnosis | A tempo diagnosis made prior to receiving actual test results
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| Workers Compensation | Insurance to cover work related injuries and illness
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| EMR | Electronic medical record
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| TPO | Treatment payment operations
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| Pre-existing Condition | Diagnosis before insurance policy was written
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| CMS | Centers for medicare and medicaid services
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| TriCare | Provides military personnel with health care
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| PPO | Preferred provider organization
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| Carrier | A company that assumes the risk of an insurance policy
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| Birthday Rule | When covered under two insurances, use the insurance policy of the policy holder who's birthday comes first.
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| COB | Coordination of Benefits
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| Group Policy | Policy that covers several people on a master contract
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| Emancipated Minor | Person who isnt 18 but has the same legal rights as an adult
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| Balance Billing | Billing the patient for the amount not covered by insurance
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| Medical Necessity | The process of establishing the medical need for medical services
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| Write off | Difference between a full fee and an allowed fee
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| Disability | Lack of ability to perform in a range considered normal
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| Allowed charge | Max amount insurance company pays for service
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| Managed Care | A health care system whose goals are to provide cost effective quality care.
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| Co-payment | The portion of a service fee that the patient must pay
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| Delinquent Claim | Claim with payment overdue
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| Walk out statement | Printed form with estimated charges that patient takes with them
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| Gate Keeper | Term given to primary care physician for coordinating the patients care
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| Accident | An unexpected happening that may result in injury, loss, or damage.
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| Grievance Procedure | a provision for resolving issues that may come up later
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| Lapse | Termination of insurance coverage for lack of insurance payment
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| Probationary Period | Waiting period when certain pre existing conditions are excluded
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| Waiver | a document that shows a person voluntarily gives up a right, claim or privilege
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| Disability income insurance | Provides income to those who are injured and unable to work
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