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A form signed by patients that lets them know that certain tests or services planned by the doctor may not be covered by Medicare. The ABN also informs patients they may be responsible for paying thes [..]

The payment a participating provider agrees to accept for a service. The approved amount is decided by insurance company fee schedules, Current Procedural Terminology (CPT®) coding standards, and gene [..]

This term means that the facility or the physician agrees to accept payment from an insurance company first and bill the patient for any after-insurance amounts due. Patients "assign" the ri [..]

The term "benefit" is used for the medical services that are paid for under a patient's insurance plan.

Used to decide the primary and secondary insurance coverage for dependent children's medical charges. The word "birthday" refers only to the month and day in a calendar year, not the ye [..]

Refers to the form submitted to the insurance company for payment of benefits.

A method used by insurance companies to review bills for a patient's health care services before payment is made. The purpose of claims review is to make sure the service provided was medically n [..]

A method used by insurance companies to review bills for a patient's health care services before payment is made. The purpose of claims review is to make sure the service provided was medically n [..]

An arrangement where patients and their insurance company share payment of a health care service. Coinsurance takes effect after the deductible amount has been paid. The coinsurance usually is a perce [..]