Database that allows retrieval of pricing information for a particular medical service or procedure within a specific geographic area.

VA Form 10-7959A that must be completed and submitted by the provider to request payment for a medical service or procedure rendered to a beneficiary from the CHAMPVA program.

Insurance card issued to dependents of military veterans who are beneficiaries of the CHAMPVA government program. Essential information is included on front and back sides of the card. CHAMPVA identification card.

Individual whose efforts assist change in a group or organization.

Insurance article or clause specifying that for an insurance policy to become effective, all conditions stated in the application for insurance must be true at the time of delivery of the policy.

Article or clause in an individual health insurance policy that gives the insurer the right to adjust a policy’s premium rate or benefits when the insured changes jobs or careers.

Situation when a provider undergoes a change in the proprietorship of their medical practice. A Medicare provider is required to notify the Centers for Medicare and Medicaid Services of the identity of both old and new owners, effective date of change, how the new entity will be organized, and a seller’s terminating cost report.

Process of directing patients to certain providers and hospitals by a managed care plan, provider, or medical group (e.g., managed care plan that sends [channels] patients to providers within the plan’s network).

First major section in the Tabular List in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code book. A chapter represents a body system or type of condition.

Type of bankruptcy case that is used for reorganization of a business enterprise when the company is unable to meet its debts but would like to continue business and would be unable to do so if creditors took away its assets.