Understanding the Language of Health Care

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  • Activities of Daily Living (ADL)
  • Actuary
  • Acute Care
  • Affordable Care Act (ACA)
  • Ancillary Services
  • Applied to Deductible (ATD)
  • Assignment of Benefits (AOB)
  • Balanced Billing
  • Catastrophic Health Insurance
  • Chronic Care
  • CMS 1500
  • COBRA Insurance
  • Coinsurance
  • Coordination of Benefits (COB)
  • Copay
  • Cost-Sharing
  • Covered Charges
  • Date of Service (DOS)
  • Day Sheet
  • Deductible
  • Drug formulary
  • Durable Medical Equipment (DME)
  • Evaluation and Management (E/M)
  • Experimental or Investigational Drug, Device, Medical Treatment or Procedure
  • Explanation of Benefits (EOB)
  • FSA (Flexible Spending Account)
  • Health Insurance Portability and Accountability Act (HIPAA)
  • HMO (Health Maintenance Organization)
  • HRA (Health Reimbursement Account)
  • HSA (Health Savings Account)
  • Independent Practice Association (IPA)
  • Individual health insurance
  • In-network provider
  • Integrated Health Care System
  • Managed Care Plan
  • Medicaid
  • Medically Necessary (or Medical Necessity)
  • Medicare
  • Network Provider/In-network Provider
  • Non-covered Charges
  • Non-network Provider/Out-of-network Provider
  • Out-of-pocket Cost
  • Out-of-Pocket Maximum
  • PPO (Preferred Provider Organization)
  • Preauthorization
  • Pre-existing condition
  • Premium
  • Provider (Health Care Provider)
  • Rider
  • UCR (Usual, Customary and Reasonable)
  • Underwriting
  • Urgent Care Provider
  • Waiting period
  • Activities of Daily Living (ADL)
  • Actuary
  • Acute Care
  • Affordable Care Act (ACA)
  • Ancillary Services
  • Applied to Deductible (ATD)
  • Assignment of Benefits (AOB)
  • Balanced Billing
  • Catastrophic Health Insurance
  • Chronic Care
  • CMS 1500
  • COBRA Insurance
  • Coinsurance
  • Coordination of Benefits (COB)
  • Copay
  • Cost-Sharing
  • Covered Charges
  • Date of Service (DOS)
  • Day Sheet
  • Deductible
  • Drug formulary
  • Durable Medical Equipment (DME)
  • Evaluation and Management (E/M)
  • Experimental or Investigational Drug, Device, Medical Treatment or Procedure
  • Explanation of Benefits (EOB)
  • FSA (Flexible Spending Account)
  • Health Insurance Portability and Accountability Act (HIPAA)
  • HMO (Health Maintenance Organization)
  • HRA (Health Reimbursement Account)
  • HSA (Health Savings Account)
  • Independent Practice Association (IPA)
  • Individual health insurance
  • In-network provider
  • Integrated Health Care System
  • Managed Care Plan
  • Medicaid
  • Medically Necessary (or Medical Necessity)
  • Medicare
  • Network Provider/In-network Provider
  • Non-covered Charges
  • Non-network Provider/Out-of-network Provider
  • Out-of-pocket Cost
  • Out-of-Pocket Maximum
  • PPO (Preferred Provider Organization)
  • Preauthorization
  • Pre-existing condition
  • Premium
  • Provider (Health Care Provider)
  • Rider
  • UCR (Usual, Customary and Reasonable)
  • Underwriting
  • Urgent Care Provider
  • Waiting period