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Definitions (195)
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Primary insurance company
The insurance company responsible for paying your claim first. If you have another insurance company, it is referred to as the Secondary Insurance Company.
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Procedure Code
A code given to medical and surgical procedures and treatments.
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Pre
Admission Approval or Certification - An agreement by your insurance company to pay for your medical treatment. Doctors and hospitals ask your insurance company for this approval before providing your [..]
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Prepayments
Money you pay before getting medical care; also referred to as preadmission deposits.
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Primary care network
A group of doctors serving as primary care doctors.
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Medicare Assignment
Doctors and hospitals who have accepted Medicare patients and agreed not to charge them more than Medicare has approved.
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Medicare
A health insurance program for people age 65 and older. Medicare covers some people under age 65 who have disabilities or end -stage renal disease (ESRD).
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Medicare + Choice
A Medicare HMO insurance plan that pays for preventive and other healthcare from designated doctors and hospitals.
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MEDICARE SUMMARY NOTICE
The notice you receive from Medicare after getting services from your doctor or hospital. It tells you what was billed to Medicare, Medicare's approved payment, the amount Medicare paid, and what [..]
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Pre
Existing Condition - A health condition or medical problem that you already have before you sign up to receive insurance. Some health insurers may not pay for health conditions you already have.
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