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Account balance Your account balance is the amount of money you have in one of your financial accounts. For example, your bank account balance refers to the amount of money in your bank accounts.   ...

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Protects health insurance coverage for workers and their families when they change or lose their jobs. Administrative Simplification provision is composed of four parts, each of which have generated a variety of "rules" promulgated by the Department of Health and Human Services....

Continued from Part 1…  This article discuss common healthcare terms from a payer perspective and gives a overview basic HIPAA messages. POS: Point-of-service plans are health benefit arrangements that evolved in response to consumer desire for broader choice in physicians and health care facilities. Health maintenance organizations offer POS plans to give their members a choice of either in-network benefits or out-of-network benefits. "In-network" refers to health care professionals and facilities that are members...

This article discuss common healthcare terms from a payer perspective and gives a overview basic HIPAA messages. Common healthcare terms: Payer Plan Provider Member Subscriber Claim Product COB (Coordination of benefits) PCP (Primary Care Provider) Capitation HIPAA Healthcare payer services: Revenue Management Customer Service Product Management Consumer Management Risk Management Care Management Provider Management Member Management Reimbursement Management Standard Code Sets: ICD-9-CM    Diagnosis & Inpatient Procedures...