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Published byLynne Sheryl Adams Modified over 8 years ago
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* The address used when the guarantor request to have statements, collection letters and guarantor/patient ledgers sent to someplace other than the permanent address.
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* Another name a patient has used such as a nickname or a maiden name.
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* The length of time a charge is open
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* A payment that has been posted to an existing charge.
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* An account that is “owned” by a business rather than an individual.
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* The five-digit number assigned to an insurance company.
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* The national document used to submit professional fees.
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* Applies when a member is covered by more than one group contract or commercial insurance policy providing benefits for like services.
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* A specified dollar amount that an insured must pay for a particular unit of service, such as an office visit, emergency room visit or the filling of a prescription.
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* A day of the month (from 1 to 28) that determines when the guarantor receives a statement. The system assigns a cycle day when a guarantor first has a balance. The system then generates a statement whenever it process statements for the guarantor's cycle day. The guarantor keeps this cycle day until the balance returns to zero.
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* Specified amounts of spending which an individual or a family must incur before insurance begins to make payments.
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* The first date of service the insurance carrier will consider processing chargers.
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* A document issued from the insurance company containing claim specific information as to how the claim was processed.
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* The last date of service the insurance carrier will process charges.
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* Internal code that identifies where the balances are.
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* The individual(s) covered by the insurance policy
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* (Medicare Secondary Payer) A questionnaire that needs to be filled out at each encounter for all Medicare patients to determine whether Medicare is primary or secondary.
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* The individual who receives services from a medical facility
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* A payment made for a specific service that will be rendered in the future
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