Agreement between Blue Cross Plans through which a local plan may provide benefits for any out-of-area Blue Cross subscriber.

System of settling an insurance claim in which the insurance company pays the policy proceeds to a court because the insurer is not able to determine to whom the proceeds should be paid and asks the court to decide.
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A legal procedure whereby if more than one person lays claim to property the party, such as the insurer, who is liable to one or the other, may ask the court to decide which.

1. Act or process of translating or explaining. 2. Health care provider’s review of the patient’s data expressing a verbal opinion or written documentation in a chart note or report. Interpretation of a test is a billable service.

Policy created to prevent harming of a patient or to improve the mental, emotional, or physical function of a patient. For example, a physiological process may be monitored or enhanced or a pathological process may be arrested or controlled.

Diagnostic coding term that relates to an adverse effect rather than a poisoning when drugs such as digitalis, steroid agents, and so on are involved.

Written contract in which a federal agency agrees to provide to, purchase from, or exchange with another federal agency, services (including data), supplies, or equipment. Intraagency agreements are between at least two or more agencies within the Department of Health and Human Services (DHHS).

Assets or liabilities that arise from transactions among federal entities.

Individual who works as an employee in an organization but focuses on creative and innovative products, services, and work methods. He or she often works independently or in loosely organized teams and is involved in rethinking current products, services, and organizational structures. Also referred to as internal entrepreneur .

Documented face-to-face time or floor/unit time that may be used to calculate the level of Evaluation and Management code when time is the determining factor for the encounter with a patient.

Any Medicare claim that contains complete, necessary information but is illogical or incorrect (e.g., listing an incorrect provider number for a referring physician). Invalid claims are identified to the provider and may be resubmitted.