Under HIPAA, a set of data elements of which there are two types, information segments or control segments. An information segment is used to convey information on the provider, payer, or services rendered. A control segment carries information necessary to the transmission and reception of a transaction.
Insurance Encyclopedia
Data use agreement
Legal binding agreement that the Centers for Medicare and Medicaid Services (CMS) requires to obtain identifiable data. It also delineates the confidentiality requirements of the Privacy Act of 1974 security safeguards and CMS’s data use policy and procedures.
Data use checklist
Form used to provide pertinent information about the data request and identifies the identifiable data being processed.
Data warehouse
See: clinical data repository (CDR) .
Database
Collection of data stored in a computer system for many applications. In the health care industry, the information may be used by insurance carriers for payment of claims, negotiating contracts, and tracking the use and cost of medical services.
Date Draft
Draft that matures in a specified number of days after the date it is issued, without regard to the date of acceptance.
Date of employment
Month, day, and year when an employee began work at a job. Often this date is the start of health insurance or workers’ compensation coverage.
Date of filing
Day of the mailing (as evidenced by the postmark) or hand delivery of materials, unless otherwise defined. Also called date of submission .
date of injury (DOI)
1. Month, day, and year that the incident or exposure occurred. 2. In workers’ compensation, months, day, and year the employee first suffered disability from an accident or exposure by present or previous employment. Many times, the date of injury may be the last day worked. When completing the CMS-1500, the date of injury is inserted in Block 14 of the paper claim form.
Date of issue
MEDICAL,USA: Date on which the insurance application is approved and the policy is issued by the insurance company. Life insurance policies sometimes provide suicide and incontestability clauses measured from the date of issue.
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The date stated in a policy as the date on which the contract was issued by the insurer. This is not necessarily the effective date of the policy.
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The date the policy was created by the insurer. This can be a different date than the effective date.