Medicare Uniform Institutional Provider Bill (insurance claim) form used for submission after hospital services have been provided to a patient. This is commonly known as the Uniform Bill (UB-04) institutional claim form, which replaces the Uniform Bill (UB-92) claim form. See Uniform Bill (UB-04) claim form.
Tag: MEDICAL
CMS-1500
Health Insurance Claim Form, a uniform professional insurance claim form used for submission after medical services have been provided to a patient. See Health Insurance Claim Form (CMS-1500).
Coalition
Association of health care plan sponsors who join together to negotiate with insurance companies or other managed care plans and providers.
COBA
Acronym for coordination of benefits agreement; see coordination of benefits contractor agreement identifiers (COBA IDs).
COBC
Acronym for coordination of benefits contractor (COBC); see coordination of benefits contractor agreement identifiers (COBA IDs).
CODA
Acronym for cash or deferred arrangement. See Section 401 (k) plan.
Code creep
See: upcoding.
Code edit
Computer software function that performs online checking of CPT codes on an insurance claim to detect unbundling, splitting of codes, and other types of improper code submissions. Sometimes referred to as code screening .
Code first
Phrase used to identify the need for two ICD-9-CM diagnostic codes.
Code first (the) underlying condition
Phrase used in ICD-9-CM diagnostic coding that indicates the medical illness is the result of another underlying disease.