Electronic examination of transmitted insurance claims for errors, conflicting code entries, and a match of diagnosis to medical service(s) provided. Also called claim edits . See front-end edits .

MEDICAL,USA: 1. Under the Health Insurance Portability and Accountability Act (HIPAA), this is the month, day, and year that a final rule is effective, which is usually 60 days after it is published in the Federal Register . 2. In insurance, the month, day, and year on which the membership, insurance coverage, or rate becomes effective.
***
The date an insurance policy takes effect.
***
US: The date on which an insurance binder or policy goes into effect and from which time protection is provided.
***
The date on which an insurance policy or bond goes into effect, and from which protection is furnished.
***
US: The date on which the insurance under a policy begins.
***
The date shown in the declarations of a policy upon which coverage is to take effect. Policies are generally effective at 1201 a.m.
***
The date upon which the policy is put in force, the inception date.

Gross health benefits given by a medical service for typical patients in community medical practice settings.

Effectiveness of a drug or medical treatment or procedure to produce a certain result under ideal conditions, usually in controlled, expert settings with carefully selected patients. If a medical service results in a health benefit, then it is considered efficacious (effective).

Activities performed effectively with minimum of waste or unnecessary effort, or producing a high ratio of results to resources.

Public, private, formal, and informal programs and support systems, government laws, and finding ways to meet the needs of the aged including housing, home care, pensions, Social Security, long-term care, health insurance, and elder law.

Individual’s decision to join or leave the Medicare plan or a Medicare+Choice plan.

1. Under the Consolidated Omnibus Reconciliation Act (COBRA), 60-day length of time after an employee has been notified he or she may accept or decline health insurance coverage when their current position has been terminated. 2. Time when an eligible person may choose to join or leave the Medicare plan or a Medicare+Choice plan. A patient may join and leave Medicare health plans in four types of election periods: annual election period, initial coverage election period, special election period, and open enrollment period.