20 Terms
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Medicare & Medicaid
Medical insurance programs administered by the U.S. federal government that provide health care coverage for the elderly (people over 65) and certain people and families with low incomes and resources.
Industry: Insurance
Add a new termContributors in Medicare & Medicaid
Medicare & Medicaid
intermediary
Insurance; Medicare & Medicaid
A private company that has a contract with Medicare to pay Part A and some Part B bills.
recipient
Insurance; Medicare & Medicaid
An individual covered by the Medicaid program, however, now referred to as a beneficiary.
United Nations Rules for Electronic Data Interchange for Administration, Commerce, and Transport
Insurance; Medicare & Medicaid
An international EDI format. Interactive X12 transactions use the EDIFACT message syntax.
extended care services
Insurance; Medicare & Medicaid
In the context of this report, an alternate name for "skilled nursing facility services."
SMI premium
Insurance; Medicare & Medicaid
Monthly premium paid by those individuals who have enrolled in the voluntary SMI program.
effective
Insurance; Medicare & Medicaid
Producing the expected results of this SOW, defined in section 1.B., Purpose of Contract.
durable medical equipment regional carrier (DMERC)
Insurance; Medicare & Medicaid
A private company that contracts with Medicare to pay bills for durable medical equipment.
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