Term used in HIPAA security Notice of Proposed Rulemaking (NPRM) for a pattern of agreements that extend protection of health care data. Each covered entity that shares health care data with another entity requires that that entity provide protections comparable with those provided by the covered entity, and that that entity, in turn, requires that any other entities with which it shares the data satisfy the same requirements.

Agreement that specifies what procedures and technologies are implemented between two or more parties who have the need to electronically exchange or share health care information. Also see chain of trust (COT).

Highest amount TRICARE will pay for a medical service.

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.