Numerical identification assigned by an insurance plan to each employer or individual plan. Contract numbers help to identify benefits of specific health insurance plans.

Type of agreement in which the amount of benefit paid is based on the actual amount of financial loss that is determined at the time of the loss. Many hospital expense insurance contracts are contracts of indemnity.
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Property and liability Insurance contracts are, subject to certain exceptions, contracts of indemnity. The person insured under these contracts should not benefit financially from the happening of the event insured against.

Entity that has a contractual agreement with a health insurance plan to give services to the plan’s members. Such entities include ambulatory surgical centers, dentists, extended care facilities, home health care agencies, hospitals, pharmacists, physicians, and skilled nursing facilities. Also called cooperating provider.

Twelve consecutive months starting with the beginning date of coverage; this period may not always coincide with a calendar year.
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This period runs from the effective date to the expiration of the contract.

Those covered insurance benefits provided by the physician that are consistent with the physician’s training, licensor, and scope of practice.

Facility that has a legal agreement with a managed care plan to provide specific hospital services to members of the plan.

1. See insurance carrier. 2. See fiscal agent. 3. See fiscal intermediary. 4. See durable medical equipment regional carrier (DMERC). 5. See regional home health intermediary (RHHI). 6. See program safeguard contractor (PSC). Also known as insurer or carrier.