8 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
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Medicare & Medicaid
insolvency
Insurance; Medicare & Medicaid
When a health plan has no money or other means to stay open and give health care to patients.
X12J
Insurance; Medicare & Medicaid
A subcommittee of X12 that reviews X12 work products for compliance with the X12 design rules.
UB-92
Insurance; Medicare & Medicaid
An electronic format of the CMS-1450 paper claim form that has been in general use since 1993.
third party administrator
Insurance; Medicare & Medicaid
An entity required to make or responsible for making payment on behalf of a group health plan.
plan sponsor
Insurance; Medicare & Medicaid
An entity that sponsors a health plan. This can be an employer, a union, or some other entity.
taxable earnings
Insurance; Medicare & Medicaid
Taxable wages and/or self-employment income under the prevailing annual maximum taxable limit.
beneficiary
Insurance; Medicare & Medicaid
The name for a person who has health care insurance through the Medicare or Medicaid program.
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