Examlex
Unlike the net present value method and the internal rate-of-return method, the payback method does NOT distinguish between the origins of the cash flows.
Explanation of Benefits (EOB)
A printed description of the benefits provided by the insurer to the beneficiary; provides information to the patient about how an insurance claim from a health provider (such as a physician or hospital) was paid on his or her behalf.
Not Allowed Amount
The portion of a bill or charge that is not covered by insurance and is not the responsibility of the patient or client.
Coinsurance Co-payment Amount
The fixed percentage or amount that an insured person is responsible for paying for medical services, after the deductible is met.
CMS-1500 Form
The standard claim form designed by the Centers for Medicare and Medicaid Services to submit physician services for third-party (insurance companies) payment; the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.
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