See: career average benefit formula.
Tag: MEDICAL
Caregiver
Individual who helps care for someone who is ill, disabled, or aged such as a relative or friend who volunteers to help. However, some people provide caregiving services for a cost.
Carrier
MEDICAL,USA: 1. Insurer, underwriter of risk. See insurance carrier. 2. See fiscal agent (FA). 3. See fiscal intermediary (FI). Also referred to as contractor or insurer. 4. Individual who harbors specific organisms but does not have any symptoms and who can infect and cause disease in other people. 5. Person who has a recessive gene and can transmit this to offspring.
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UK: 1. The railway, shipowner, haulier, airline or other transporter of goods. See COMMON CARRIER. 2. The insurer or reinsurer carrying the risk.
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A person who carries passengers or goods by land, sea or air.
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US: An insurance or reinsurance company that insures or “carries” the insurance or reinsurance.
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An insurance or reinsurance company that insures or “carries” the insurance or reinsurance.
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Another term for insurer. Insurer is used more often because carrier can also mean a transportation carrier.
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MEDICAL,USA: Insurance company that underwrites, administers, and sells health insurance benefit plans. Sometimes called contractor, insurer , or administrative agent . See also fiscal agent or fiscal intermediary .
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Synonym for “Insurer.” The term Insurer is preferred because of the possible confusion of an Insurance carrier with a carrier of goods whose business is transportation.
Carrier Advisory Committee (CAC)
Formal system for physicians to be informed of and participate in the development of local medical review policies (LMRPs) in an advisory capacity. This committee discusses methods to improve administrative policies that are within the insurance carrier’s discretion.
Carrier replacement (CR)
One health insurance company replaces one or more other health insurance carriers for a group client. This process allows merging and combining the experience and risk of the group.
Carrier-direct system
Direct electronic transmission of insurance claims by the physician to the insurance company.
Carry-over provision
Provision in some medical expense policies in which expenses incurred during the last 3 months of a benefit period or calendar year are used to satisfy the current benefit period’s deductible and may also be used to satisfy any or all of the following benefit period’s (or next year’s) deductible.
Carryover line
Format used when a complete entry does not fit on one line and then drops down to the next line.
Carve out
1. Medical service not included within the capitation rate as a benefit of a managed care contract and may be contracted for separately. For example, carve-out services might include vision and dental, sometimes called a single-service plan (SSP) . 2. Integrated plan of providing medical coverage to Medicare-eligible employees. See Medicare carve-out.
Carve-out plan
Insurance coverage for specific health care services available for purchase separately from the basic managed care plan. Also called single-service plan (SSP). Also see Medicare/employer supplemental insurance.