MEDICAL,USA: 1. Liability of one entity is assumed by a second entity (insurance company). 2. Clause in an insurance contract that relieves the insurance payer of liability that may arise from the delivery of health care. 3. Provision that offers the insured protection in disputes between the insurer and the provider of a covered service. Also called hold harmless provision .
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UK: A contractual arrangement whereby one party assumes the liability of another party. The effect is to transfer the potential financial loss. A tenant may hold his landlord ‘harmless’ against claims by injured third parties. The term is synonymous with ‘indemnity agreement’ but some purists make a distinction. They regard ‘hold harmless’ as paying on behalf of the indemnitee while ‘indemnity’ means reimbursing him after he has first paid the loss himself. It is customary for public and employers’ liability policies to provide a principal’s clause under which, subject to policy terms, any indemnity granted by an insured to his principal, is covered by insurance.
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A contractual assumption by one party of the liability exposure of another. Lease agreements, for example, commonly require the tenant to hold the landlord harmless for bodily injury to property damage experienced by others on the premises.

1. Provision in an insurance contract in which the liability of one party is assumed by a second party, usually the insurance company. 2. Legal section often used in managed care contracts that states if either the managed care plan or participating provider is held liable for corporate malfeasance or malpractice, the provider agrees not to sue or make any claims against a plan member. 3. Legal paragraph in a managed care contract that prohibits a provider from billing members (patients) if the managed care plan becomes insolvent or fails to meet its financial obligations. This is required by some state regulations. Also called no balance billing clause . 4. In cancer hospitals, the financial protection that ensures the hospitals recover all losses because of differences in their ambulatory payment classification (APC) payments and the pre-APC payments for Medicare outpatient services.
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Clause written into a contract by which one party agrees `to release another party from all legal liability, such as a retailer who agrees to release the manufacturer from legal liability if the product injures someone.

Clause that states a payee will pay an insurance company if a subsequent claimant successfully challenges the disbursement of the policy’s proceeds.

Concept that concern for health requires a perspective of the individual as an integrated system rather than one or more separate parts including physical, mental, spiritual, and emotional.

System of comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs. Also called holistic health care .

1. Location, other than a hospital or other facility, where the patient receives care in a private residence. 2.When the physician’s office or an outpatient hospital is billing, the “Place of Service” two-digit numerical code for home (12) is inserted in Block 24B of the CMS-1500 insurance claim form.

Home and community health care established under Section 1929 of the Social Security Act. It allowed states to provide a large range of services to the functionally disabled as an optional state plan benefit. In every state, except Texas, the option can serve only people older than 65. In Texas, people of any age are eligible if they meet the state’s functional disability test and financial criteria. Also known as the frail elderly provision .