| A | B |
|---|
| Accidental Injury | accidential bodily injury resulting, directly & independently of other causes |
| Adjustment | to modify or change a claim |
| Allowed Claim | claim that has at least one service that is reimbursable |
| Prenatal Care | care and treatment for a pregnant woman and her fetus |
| Concurrent Care | evaluation and management services provided by two or more physicians |
| Custodial Care | services and supplies, including room & board, primarily to assit in activities of daily living |
| CPT | current procedural terminology |
| DOS | date of service |
| Emergency Services | services which are necessary to prevent death or serious impairment |
| EOB | explanation of benefits |
| Fee Schedule | the maximum allowable fee for each procedure code |
| HCFA | Health Care Financing Administration |
| HMO | Health Maintenance Organization |
| Hospice | care given to member that is terminally ill, expected to live less than 6 months |
| ICD-9 | International Classification of Diseases (Diagnosis Codes) |
